Active NPI
Scott James Crews, DDS
- General Practice Dentistry
- Spokane Valley, WA
National Provider Identifier
1417911124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5982
- Practice address
- 826 N Mullan Rd
Suite C
Spokane Valley, WA 99206-4094 - Phone
- (509) 924-1580
- Fax
- (509) 924-1619
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5982 | WA | Primary |
Addresses
Primary practice location
826 N Mullan Rd
Suite C
Spokane Valley, WA 99206-4094
Mailing address
826 N Mullan Rd
Suite C
Spokane Valley, WA 99206-4094
Phone (509) 924-1580
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5982 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig C Ellsworth DDS Inc | Past | Accepting new patients |
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.
-
- Preferred Provider Organization
- Spokane Valley, WA
- NPI 1043635543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417911124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 N MULLAN RD",
"address_2": "SUITE C",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064094",
"telephone_number": "509-924-1580",
"fax_number": "509-924-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 N MULLAN RD",
"address_2": "SUITE C",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064094",
"telephone_number": "509-924-1580",
"fax_number": "509-924-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREWS",
"first_name": "SCOTT",
"middle_name": "JAMES",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "5982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.