Individual provider Active NPI

Angel Cox Crayton, DPM

  • Podiatrist
  • Wilmington, DE
National Provider Identifier
1396164117
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006436 Issued in PA
Practice address
4011 N Market St
Wilmington, DE 19802-2219
Phone
(302) 762-0200
Fax
(302) 762-0500
NPI assigned
Apr 9, 2014
Last updated
Apr 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006436 PA Primary
Podiatrist 213E00000X E1-0000220 DE

Addresses

Primary practice location

4011 N Market St
Wilmington, DE 19802-2219

Mailing address

PO Box 301
Jenkintown, PA 19046-0301
Phone (302) 762-0200

Other identifiers 2

IdentifierTypeStateIssuer
399633ZQ6GOtherDEMEDICARE
448690ZRQ4OtherPAMEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006436PAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1396164117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190460301",
            "telephone_number": "302-762-0200",
            "fax_number": "302-762-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022219",
            "telephone_number": "302-762-0200",
            "fax_number": "302-762-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX CRAYTON",
        "first_name": "ANGEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006436",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "399633ZQ6G",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "448690ZRQ4",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.