Active NPI
Jordan Nicole Crawford, D.D.S.
- Dentist
- Ames, IA
National Provider Identifier
1245358415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08404
- Practice address
- 515 Grand Ave Ste 101
Expressions Dental
Ames, IA 50010-6061 - Phone
- (515) 232-0558
- NPI assigned
- Mar 27, 2007
- Last updated
- Jun 7, 2010
- Sex
- Female
- 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 | 08404 | IA | Primary |
Addresses
Primary practice location
515 Grand Ave Ste 101
Expressions Dental
Ames, IA 50010-6061
Mailing address
4815 Cardigan LN
Iowa City, IA 52245
Phone (319) 331-1062
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 |
|---|---|---|---|
| 08404 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1245358415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 CARDIGAN LN",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52245",
"telephone_number": "319-331-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 GRAND AVE STE 101",
"address_2": "EXPRESSIONS DENTAL",
"city": "AMES",
"state": "IA",
"postal_code": "500106061",
"telephone_number": "515-232-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JORDAN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ames, IA
- Cornerstone Caregiving East LLC
- Cornerstone Counseling Center of Ames, Inc
- Thyra Louise Cox, BA, RN, MSN, CDE
- Crawford Endodontics, PLLC
- Jonathan Froyd Crawford, DDS
- Lance Wayne Crawford, D.D.S, M.S.
- Creative Counseling and Intervention Services, Inc.
- Michael Jeffrey Crew, DDS
- Kyle Crist
- Austin Cross, L.I.S.W
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.