NPIMap

Organization Active NPI

Crowder Family Dental Care, PC

  • Dentist
  • Ripley, TN
National Provider Identifier
1265720320
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS4048 Issued in TN
Legal business name
CROWDER FAMILY DENTAL CARE, PC
Practice address
1800 Highway 51 S
Ripley, TN 38063-5598
Phone
(731) 635-5000
Fax
(731) 635-7540
NPI assigned
Jul 11, 2011
Last updated
Jul 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Dr. Roy Crowder Jr., DDSNPI 1083602197
Title
President
Phone
(731) 635-5000

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS4048 TN Primary

Addresses

Primary practice location

1800 Highway 51 S
Ripley, TN 38063-5598

Mailing address

1800 Highway 51 S
Ripley, TN 38063-5598
Phone (731) 635-5000

National Provider Directory

National Provider Directory

Locations

1800 Highway 51 S
Ripley, TN 38063
Phone (731) 635-5000

Practitioners & affiliated clinicians

Practitioners 2

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": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1265720320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 51 S",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380635598",
            "telephone_number": "731-635-5000",
            "fax_number": "731-635-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 51 S",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380635598",
            "telephone_number": "731-635-5000",
            "fax_number": "731-635-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWDER FAMILY DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-635-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.