NPIMap

Organization Active NPI

Carolyn B Crowell DMD Inc

  • Pediatric Dentistry
  • Avon, OH
National Provider Identifier
1386618072
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
19025 Issued in OH
Legal business name
CAROLYN B CROWELL DMD INC
Practice address
36855 American Way Ste C
Avon, OH 44011-4059
Phone
(440) 934-0149
Fax
(440) 934-3990
NPI assigned
Feb 17, 2006
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Dr. Carolyn Burke Crowell, DMDNPI 1083892897
Title
President
Phone
(440) 899-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 19025 OH Primary

Addresses

Primary practice location

36855 American Way Ste C
Avon, OH 44011-4059

Mailing address

36855 American Way
Suite C
Avon, OH 44011
Phone (440) 934-0149

Other identifiers 1

IdentifierTypeStateIssuer
0748856MedicaidOH

National Provider Directory

National Provider Directory

Locations

24930 Detroit Rd
Westlake, OH 44145

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1386618072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36855 AMERICAN WAY",
            "address_2": "SUITE C",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-934-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36855 AMERICAN WAY STE C",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114059",
            "telephone_number": "440-934-0149",
            "fax_number": "440-934-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN B CROWELL DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "BURKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-899-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "19025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0748856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.