Jeremy Christopher Crow, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037434 Issued in PA

Practice address

301 S Hills VLG
Pittsburgh, PA 15241-1400

Phone

(412) 835-4966

Fax

(412) 835-2466

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1578600714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S HILLS VLG",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411400",
            "telephone_number": "412-835-4966",
            "fax_number": "412-835-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S HILLS VLG",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411400",
            "telephone_number": "412-835-4966",
            "fax_number": "412-835-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "JEREMY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037434",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586787",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ray D Crouch, MD
• Joanne V. Crough, LPC
• Crouse Counseling PC
• Amy L. Croushore, FNP
• Alicia Elaine Crow, M.D.
• Justine Marie Crow, LSW
• Karen Fishkin Crow
• Austin Blake Crowder, RN
• Rileigh Crowder
• Alysha Crowe-Snee, M.A, BCBA, LBS

• General Practice Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.