Victor Xavier Crawford, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

26161 Issued in CA

Practice address

5106 Federal Blvd
Suite 209
San Diego, CA 92105-5453

Phone

(619) 264-0179

Fax

(619) 264-6824

NPI assigned

Oct 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victor X Crawford DDS Inc

  • Dentist
  • San Diego, CA
  • NPI 1457403974
  NPD (past) Authorized official
• Williams-Langley Dental Corporation

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1356097695
  NPD (past)

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1548512254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 FEDERAL BLVD.",
            "address_2": "SUITE 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055455",
            "telephone_number": "619-264-0179",
            "fax_number": "619-264-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 FEDERAL BLVD",
            "address_2": "SUITE 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055453",
            "telephone_number": "619-264-0179",
            "fax_number": "619-264-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "VICTOR",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "26161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D26161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D Crawford Sr., DDS
• Michelle Lisa Jean Crawford, BA
• Molly Ellyssa Crawford
• Regina Crawford
• Sarai Crawford
• Madison Crawley, RDH
• Rheanna Genevieve Crawley
• Tiffany Phyllis Crawshaw, PSY.D.
• Amy Lauren Cray, PNP
• Jerome Crayton-Sherman II

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.