Kimberly Sue Crabtree, RDH, RDA

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2903001264 Issued in MI

Practice address

7040 McKay Rd
Jackson, MI 49201-9261

Phone

(517) 740-2596

Fax

(517) 536-0957

NPI assigned

Jun 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1497194369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 MCKAY RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019261",
            "telephone_number": "517-740-2596",
            "fax_number": "517-536-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 MCKAY RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019261",
            "telephone_number": "517-740-2596",
            "fax_number": "517-536-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "RDH, RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2903001264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jean Cox, MA, CCC-SLP
• Teresa Lynn Cox
• Valerie Christine Cox, SLP
• Carol Lynn Coxon, R.N.
• Jennifer Renee Coxon, LMSW
• Mallory Crabtree, MA, CCC-SLP
• Deborah Ann Craft, PHARM D
• Doris P Cralle, M.D
• Thomas W Crampton, PHARM D
• Jessica Marie Cramton, LLPC

• Dental Hygienist in Jackson, MI
• Providers in Jackson, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.