Active NPI
John Ward Crown, DMD
- Dentist
- Sycamore, IL
National Provider Identifier
1194988139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19023694
- Practice address
- 134 W State St
Sycamore, IL 60178-1472 - Phone
- (815) 895-4571
- Fax
- (815) 895-2356
- NPI assigned
- Jul 9, 2008
- Last updated
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 19023694 | IL | Primary |
Addresses
Primary practice location
134 W State St
Sycamore, IL 60178-1472
Mailing address
134 W State St
Sycamore, IL 60178-1472
Phone (815) 895-4571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19023694 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curtis E. Lang, D.D.S. | Dentist | Past | Accepting new patients |
| Grand Dental Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Grand Dental - Sycamore
- General Practice Dentistry
- Sycamore, IL
- NPI 1346699535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1194988139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 W STATE ST",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601781472",
"telephone_number": "815-895-4571",
"fax_number": "815-895-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W STATE ST",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601781472",
"telephone_number": "815-895-4571",
"fax_number": "815-895-2356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWN",
"first_name": "JOHN",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19023694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
- James Wesley Coulter, PT
- Cpo Services, Inc. (Comprehensive Prosthetics and Orthotics)
- Jamieson T Credille, DPT
- Starline Rose Crouch, M.A. CCC-SLP
- Mackenzie Crowell
- Lisa D Crutcher, M.D.
- Elizabeth Jean Cunningham, LCSW
- Kay E Currey, DDS
- Curtis E. Lang, D.D.S. (Courtview Dental Center)
- Jolene F. Curtis, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.