Active NPI
Gregory Kenneth Crabtree, DMD
- General Practice Dentistry
- Tompkinsville, KY
National Provider Identifier
1487778353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6316
- Practice address
- 103 E 2ND St
Tompkinsville, KY 42167-1601 - Phone
- (270) 487-6066
- Fax
- (270) 487-8689
- NPI assigned
- Mar 18, 2007
- 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 | 6316 | KY | Primary |
Addresses
Primary practice location
103 E 2ND St
Tompkinsville, KY 42167-1601
Mailing address
103 E 2ND St
P O Box 127
Tompkinsville, KY 42167-1601
Phone (270) 487-6066
Other practice location 1
865 S Dixie Hwy
Munfordville, KY 42765-9203
Phone (270) 524-5580
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 |
|---|---|---|---|
| 6316 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B C Dental | General Practice | Past | Accepting new patients |
| Candace Moore Flener DMD LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Munfordville, KY
- NPI 1447735725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1487778353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 E 2ND ST",
"address_2": "P O BOX 127",
"city": "TOMPKINSVILLE",
"state": "KY",
"postal_code": "421671601",
"telephone_number": "270-487-6066",
"fax_number": "270-487-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E 2ND ST",
"city": "TOMPKINSVILLE",
"state": "KY",
"postal_code": "421671601",
"telephone_number": "270-487-6066",
"fax_number": "270-487-8689"
}
],
"practiceLocations": [
{
"address_1": "865 S Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Munfordville",
"state": "KY",
"postal_code": "427659203",
"country_code": "US",
"telephone_number": "270-524-5580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRABTREE",
"first_name": "GREGORY",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-18",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "6316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tompkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.