Organization Active NPI

Crow Family Dentistry SC

  • Prosthodontics
  • Waukesha, WI
National Provider Identifier
1194895839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
5000891 Issued in WI
Legal business name
CROW FAMILY DENTISTRY SC
Practice address
2314 N Grandview Blvd
Ste 206
Waukesha, WI 53188-1675
Phone
(262) 547-5550
Fax
(262) 547-5572
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dean W Crow, DDSNPI 1972742039
Title
Owner
Phone
(262) 547-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 5000891 WI Primary

Addresses

Primary practice location

2314 N Grandview Blvd
Ste 206
Waukesha, WI 53188-1675

Mailing address

2314 N Grandview Blvd
Ste 206
Waukesha, WI 53188-1675
Phone (262) 547-5550

National Provider Directory

National Provider Directory

Locations

2314 N Grandview Blvd
Ste 206
Waukesha, WI 53188
Phone (262) 547-5550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194895839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 N GRANDVIEW BLVD",
            "address_2": "STE 206",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881675",
            "telephone_number": "262-547-5550",
            "fax_number": "262-547-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 N GRANDVIEW BLVD",
            "address_2": "STE 206",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881675",
            "telephone_number": "262-547-5550",
            "fax_number": "262-547-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROW FAMILY DENTISTRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-547-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "5000891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.