Glenda P Crawford, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3822 Issued in SC

Practice address

1131 Rutherford Rd
Greenville, SC 29609-3905

Phone

(864) 271-9062

Fax

(864) 271-9067

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. John W Crawford Jr. Professional name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crawford Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1619191764
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477671840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093905",
            "telephone_number": "864-271-9062",
            "fax_number": "864-271-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093905",
            "telephone_number": "864-271-9062",
            "fax_number": "864-271-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "GLENDA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3822",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CRAWFORD",
            "middle_name": "W",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Crawford Family & Cosmetic Dentistry
• Amelia Taylor Crawford, PA-C
• Angela Crawford
• Erika Bishop Crawford, MD
• Gail Eileen Crawford, APRN-BC
• Hannah Crawford
• John W. Crawford, D.M.D.
• Lauren Crawford, RBT
• Patricia Ann Crawford, M.D.
• Tabatha Duck Crawford

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.