Organization Active NPI

Crabtree Pediatric Dentistry PLLC

  • Dentist
  • Rogers, AR
National Provider Identifier
1235850074
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CRABTREE PEDIATRIC DENTISTRY PLLC
Practice address
3801 W Financial Pkwy Ste 101
Rogers, AR 72758-1499
Phone
(479) 370-0101
NPI assigned
Sep 9, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Kristen Crabtree, DDSNPI 1942692686
Title
Owner
Phone
(903) 293-8610

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

3801 W Financial Pkwy Ste 101
Rogers, AR 72758-1499

Mailing address

3801 W Financial Pkwy Ste 101
Rogers, AR 72758-1499
Phone (479) 370-0101

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Encryption Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3801 W Financial Pkwy
#101
Rogers, AR 72758
Phone (479) 370-0101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1235850074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W FINANCIAL PKWY STE 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581499",
            "telephone_number": "479-370-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W FINANCIAL PKWY STE 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581499",
            "telephone_number": "479-370-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRABTREE PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-293-8610",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Encryption",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3801 W Financial Pkwy Ste 101",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727581499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.