Michael Alton Crump

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL ALTON CRUMP

Practice address

104 Cherry St
Gadsden, AL 35901-5235

Phone

(256) 438-0080

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael Alton Crump

Title

Owner

Phone

(256) 438-0080

Specialties & licenses 1

Addresses

Other names 1

• Coosa Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1528548955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHERRY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015235",
            "telephone_number": "256-438-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHERRY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015235",
            "telephone_number": "256-438-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ALTON CRUMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-438-0080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coosa Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Robert Meis, DO
• Mercy Medical Clinic, LLC
• Anthony C Metcalfe, M.D.
• Marie A Metcalfe, PHARMD
• Michael a McEwen, M.D., P.a.
• Michael J Naughton MD PHD LLC
• Midtown Pharmacy LLC
• Larry Daniel Miles, LPTA
• Anjanette H Miller, CRNA
• Lauren E Miller, P.A.

• Dental Clinic/Center in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.