Zachariah Lea Crawford, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3692-13MS Issued in MS

Practice address

47 E Lake Rd
Hattiesburg, MS 39402-7706

Phone

(601) 466-9652

NPI assigned

Jul 8, 2013

Last updated

Apr 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1194166017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 EAST LAKE RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E LAKE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027706",
            "telephone_number": "601-466-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ZACHARIAH",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3692-13MS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crawford & Crawford Counseling
• Deena Lambert Crawford, L.C.S.W.
• Everett Howell Crawford Jr., MD
• Ted Jeffery Crawford, LMFT
• Virginia Crawford, MD
• Creative Mobilities, LLC
• Brittany Creel, PHARMD
• Cronin Family Dentistry PA
• Christopher Kelly Cronin, D.M.D
• Joseph Michael Cronin, DDS

• General Practice Dentistry in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.