Active NPI
Kyle Crawshaw, DMD
- Dentist
- Solon, OH
National Provider Identifier
1194888933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9846
- Practice address
- 34055 Solon Rd
Suite 111
Solon, OH 44139-2662 - Phone
- (440) 349-1400
- Fax
- (440) 349-0558
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9846 | OR | Primary |
Addresses
Primary practice location
34055 Solon Rd
Suite 111
Solon, OH 44139-2662
Mailing address
2458 SE Burnside Rd
Gresham, OR 97080-1247
Phone (503) 666-8045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151125000583 | OR | Order and Referring Only - Dentist | 1658671532 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9846 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glick Dental Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Solon, OH
- NPI 1720221807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1194888933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2458 SE BURNSIDE RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970801247",
"telephone_number": "503-666-8045",
"fax_number": "503-666-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34055 SOLON RD",
"address_2": "SUITE 111",
"city": "SOLON",
"state": "OH",
"postal_code": "441392662",
"telephone_number": "440-349-1400",
"fax_number": "440-349-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWSHAW",
"first_name": "KYLE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Solon, OH
- Michael James Cooper, RPH
- Cornerstone Medical Services- Midwest LLC (AeroCare)
- Charisse Lashaun Cotton
- Sharon Ann Covey, OTR/L
- Janet Crate, LISW
- Creating Hope & Healing
- Criterion Healthcare Administrative Services Corp
- Justin J Crivelli, D.O.
- Cultivate Ohio, LLC (Cultivate Behavioral Health and Education)
- Cuyahoga County BD. of MRDD (Solon House)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.