Individual provider Active NPI

Garrett B Crawford, DMD

  • Dentist
  • Burlington, MA
National Provider Identifier
1386317899
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859196 Issued in MA
Practice address
184 Cambridge St
Burlington, MA 01803-2911
Phone
(781) 739-3933
NPI assigned
Jul 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26356 FL
Dentist 122300000X DN1859196 MA Primary

Addresses

Primary practice location

184 Cambridge St
Burlington, MA 01803-2911

Mailing address

1661 Washington St Apt 201
Boston, MA 02118-3389
Phone (727) 542-4275

Other practice location 1

5601 1st Ave S
St Petersburg, FL 33707-1703
Phone (727) 343-3005

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

LicenseStateTypeSpecialty
DN1859196MAMDDentist
26356FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Implant & Laser Periodontics PLLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

5601 1st Ave S
St Petersburg, FL 33707
Phone (727) 343-3005

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1386317899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 WASHINGTON ST APT 201",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183389",
            "telephone_number": "727-542-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CAMBRIDGE ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032911",
            "telephone_number": "781-739-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337071703",
            "country_code": "US",
            "telephone_number": "727-343-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "GARRETT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26356",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.