Organization Active NPI

Brian C Crawford and Paolo a Poidmore a Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Auburn, CA
National Provider Identifier
1386468627
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BRIAN C CRAWFORD AND PAOLO A POIDMORE A DENTAL CORPORATION
Practice address
1240 High St Unit 206
Auburn, CA 95603-5073
Phone
(916) 259-9255
Fax
(916) 384-3844
NPI assigned
Nov 13, 2024
Organization subpart
Yes
Parent organization
BRIAN C CRAWFORD AND PAOLO A POIDMORE A DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Dr. Brian C Crawford, DMD
Title
Owner
Phone
(916) 259-9255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1240 High St Unit 206
Auburn, CA 95603-5073

Mailing address

3075 Beacon Blvd
West Sacramento, CA 95691-3462
Phone (916) 259-9255

Other names 1

  • Precision Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brian C Crawford and Paolo a Poidmore a Dental Corporation3 organizations share this tax ID, including this one
Part of
Brian C Crawford and Paolo a Poidmore a Dental Corporation

Other organizations with this tax ID 2

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

Locations

1240 High St
Unit 206
Auburn, CA 95603

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1386468627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEACON BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913462",
            "telephone_number": "916-259-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 HIGH ST UNIT 206",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035073",
            "telephone_number": "916-259-9255",
            "fax_number": "916-384-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C CRAWFORD AND PAOLO A POIDMORE A DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIAN C CRAWFORD AND PAOLO A POIDMORE A DENTAL CORPORATION",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-259-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.