Individual provider Active NPI

Shana Xaviera Crawford, DDS

  • General Practice Dentistry
  • Dallas, NC
National Provider Identifier
1528117967
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8707 Issued in NC
Practice address
101 Dallas Towne PLZ
Dallas, NC 28034-1564
Phone
(704) 675-8667
Fax
(704) 675-8669
NPI assigned
Jan 8, 2007
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 8707 NC Primary

Addresses

Primary practice location

101 Dallas Towne PLZ
Dallas, NC 28034-1564

Mailing address

101 Dallas Towne PLZ
Dallas, NC 28034-1564
Phone (704) 675-8667

Other identifiers 1

IdentifierTypeStateIssuer
5921514MedicaidNC

Other names 1

  • Shana Xaviera Crawford-Hawkins Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shana Xaviera Crawford-Hawkins DDS Current Accepting new patients

Locations

101 Dallas Towne Plz
Dallas, NC 28034
Phone (704) 675-8667

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1528117967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DALLAS TOWNE PLZ",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280341564",
            "telephone_number": "704-675-8667",
            "fax_number": "704-675-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DALLAS TOWNE PLZ",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280341564",
            "telephone_number": "704-675-8667",
            "fax_number": "704-675-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "SHANA",
        "middle_name": "XAVIERA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921514",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "CRAWFORD-HAWKINS",
            "middle_name": "XAVIERA",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.