Individual provider Active NPI

David Andrew Crans, D.D.S.

  • General Practice Dentistry
  • Canfield, OH
National Provider Identifier
1326137266
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19705 Issued in OH
Practice address
3701 Boardman Canfield Rd
Suite 4
Canfield, OH 44406-7005
Phone
(330) 533-1260
Fax
(330) 533-0431
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19705 OH Primary

Addresses

Primary practice location

3701 Boardman Canfield Rd
Suite 4
Canfield, OH 44406-7005

Mailing address

1390 Fox Den TRL
Canfield, OH 44406-8302
Phone (330) 793-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603003020 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5991026890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19705OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326137266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 FOX DEN TRL",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068302",
            "telephone_number": "330-793-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 4",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444067005",
            "telephone_number": "330-533-1260",
            "fax_number": "330-533-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANS",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.