Jerry Crayle

Primary specialty

DentistTaxonomy code 122300000X

License

10171 Issued in NC

Legal business name

JERRY CRAYLE

Practice address

2148 Highway 54
Jerome Crayle PLLC
Graham, NC 27253

Phone

(336) 578-3896

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Crayle

Title

Ceo

Phone

(336) 578-3896

Specialties & licenses 1

Addresses

Tax ID family

Jerome M Crayle DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jerome M Crayle DDS PLLC

  • General Practice Dentistry
  • Graham, NC
  • NPI 1205927860
  NPD tax ID

Practitioners 1

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

• Jerome M Crayle, DDS

  • General Practice Dentistry
  • Graham, NC
  • NPI 1790876464
  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1508237934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272530801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 HIGHWAY 54",
            "address_2": "JEROME CRAYLE PLLC",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "27253",
            "telephone_number": "336-578-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY CRAYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "CRAYLE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-578-3896",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "10171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinod Jones Isaiah, DC
• Jack H Wolf MD
• Jailyn Jackson, LCMHC-A
• Kristen James, DPT
• Jerome M Crayle DDS PLLC
• Megan P. Johnson, DO
• Alexander James Antonios Karamalegos, D.O.
• Karen D. Barwick, D.D.S., P.a.
• Theresa M Kascsak, LPC
• Lauren Renee Kennedy, DNP, AGPCNP-BC

• Dentist in Graham, NC
• Providers in Graham, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.