Individual provider Active NPI

Toni Annette Goins-Crank, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kirkwood, MO
National Provider Identifier
1457378812
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE-015194 Issued in MO
Practice address
439 S Kirkwood Rd
Ste. 205
Kirkwood, MO 63122-6169
Phone
(314) 821-2400
Fax
(314) 821-2288
NPI assigned
Jul 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE-015194 MO Primary

Addresses

Primary practice location

439 S Kirkwood Rd
Ste. 205
Kirkwood, MO 63122-6169

Mailing address

472 Redwood Forest Dr
Ballwin, MO 63021-5756
Phone (314) 821-2400

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DE-015194MOMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457378812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 REDWOOD FOREST DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215756",
            "telephone_number": "314-821-2400",
            "fax_number": "314-821-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S KIRKWOOD RD",
            "address_2": "STE. 205",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226169",
            "telephone_number": "314-821-2400",
            "fax_number": "314-821-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINS-CRANK",
        "first_name": "TONI",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "DE-015194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

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.

Verify at the official NPI Registry.