Active NPI
Lee Crawford
- General Practice Dentistry
- Amarillo, TX
National Provider Identifier
1508267675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18915
- Practice address
- 6017 SW 45TH Ave
Amarillo, TX 79109-5100 - Phone
- (806) 353-1502
- Fax
- (806) 331-0980
- NPI assigned
- Sep 9, 2014
- 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 | 18915 | TX | Primary |
Addresses
Primary practice location
6017 SW 45TH Ave
Amarillo, TX 79109-5100
Mailing address
6017 SW 45TH Ave
Amarillo, TX 79109-5100
Phone (806) 353-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 23, 2016 through May 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18915 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1508267675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6017 SW 45TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095100",
"telephone_number": "806-353-1502",
"fax_number": "806-331-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6017 SW 45TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095100",
"telephone_number": "806-353-1502",
"fax_number": "806-331-0980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.