Individual provider Active NPI

Jeffrey Raymond Crane, D.D.S.

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1336435288
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN-10469 Issued in CO
Practice address
10401 E Colfax Ave Ste 150
Aurora, CO 80010-2371
Phone
(303) 344-2273
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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 DEN-10469 CO Primary

Addresses

Primary practice location

10401 E Colfax Ave Ste 150
Aurora, CO 80010-2371

Mailing address

10401 E Colfax Ave Ste 150
Aurora, CO 80010-2371
Phone (303) 344-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150626001479 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7810209236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN-10469COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1336435288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 E COLFAX AVE STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102371",
            "telephone_number": "303-344-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 E COLFAX AVE STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102371",
            "telephone_number": "303-344-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "JEFFREY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-10469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.