Individual provider Active NPI

Rickey Joe Crane, D.D.S.

  • General Practice Dentistry
  • Mount Pleasant, TX
National Provider Identifier
1528066040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15780 Issued in TX
Practice address
201 W 18TH St
Mt Pleasant, TX 75455-2311
Phone
(903) 572-8653
Fax
(903) 572-5550
NPI assigned
Jul 8, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15780 TX Primary

Addresses

Primary practice location

201 W 18TH St
Mt Pleasant, TX 75455-2311

Mailing address

201 W 18TH St
Mt Pleasant, TX 75455-2311
Phone (903) 572-8653

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

LicenseStateTypeSpecialty
15780TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rickey Joe Crane D.D.S., P.a. CurrentSince Jul 31, 2023 Accepting new patients
Awpj PLLC PastSince Apr 13, 2025 Accepting new patients

Locations

201 W 18th St
Mt Pleasant, TX 75455
Phone (903) 572-8653

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528066040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 18TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552311",
            "telephone_number": "903-572-8653",
            "fax_number": "903-572-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 18TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552311",
            "telephone_number": "903-572-8653",
            "fax_number": "903-572-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "RICKEY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.