Victor X Crawford DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

26161 Issued in CA

Legal business name

VICTOR X CRAWFORD DDS INC

Practice address

5106 Federal Blvd
Suite 209
San Diego, CA 92105-5455

Phone

(619) 264-0179

Fax

(619) 264-4364

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Victor Xavier Crawford, DDSNPI 1548512254

Title

President

Phone

(619) 264-0179

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Xavier Crawford, DDS

  • Dentist
  • San Diego, CA
  • NPI 1548512254
  NPD (past) Authorized official
• Cathy Ann Williams, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1316472996
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1457403974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 FEDERAL BLVD",
            "address_2": "SUITE 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055455",
            "telephone_number": "619-264-0179",
            "fax_number": "619-264-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 FEDERAL BLVD",
            "address_2": "SUITE 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055455",
            "telephone_number": "619-264-0179",
            "fax_number": "619-264-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR X CRAWFORD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-264-0179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "26161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B2616101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin David Vickroy, D.C.
• Victor a. Ippolito DDS, Inc.
• Victor BJ Krauss Chiropractic, a Professional Corporation (Better Life Chiropractic)
• Victor C. Coelho, MD, Inc.
• Victor Kops, PH.D.
• Laurie Victor, LVN
• Victoria L. Wooden, Registered Nursing Inc.
• Victoria Lin, M.D., Inc.
• Laura Denise Victoria
• Vida Hospice Southern California Inc.

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.