NPIMap

Organization Active NPI

Crawford Orthodontic Care

  • Dental Clinic/Center
  • McDonough, GA
National Provider Identifier
1306034145
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CRAWFORD ORTHODONTIC CARE
Practice address
175 Decatur Rd
McDonough, GA 30253-2025
Phone
(770) 417-3505
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Keith Scott Crawford, DMDDMV
Title
Owner
Phone
(770) 417-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

175 Decatur Rd
McDonough, GA 30253-2025

Mailing address

3850 Holcomb Bridge Rd
Suite 230
Norcross, GA 30092-5223
Phone (770) 417-3505

National Provider Directory

National Provider Directory
Tax ID family
Crawford Orthodontic Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1306034145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 230",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300925223",
            "telephone_number": "770-417-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DECATUR RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532025",
            "telephone_number": "770-417-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD ORTHODONTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-417-3505",
        "authorized_official_credential": "DMDDMV"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.