NPIMap

Organization Active NPI

John P. Crisp, DDS, PLLC

  • Endodontics
  • Wilmington, NC
National Provider Identifier
1598742553
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4624 Issued in NC
Legal business name
JOHN P. CRISP, DDS, PLLC
Practice address
2210 Wrightsville Ave
Suite 5
Wilmington, NC 28403-2406
Phone
(910) 763-0355
Fax
(910) 763-0358
NPI assigned
Dec 29, 2005
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
John P. Crisp, DDS, MSNPI 1811080393
Title
Owner
Phone
(910) 763-0355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 4624 NC Primary

Addresses

Primary practice location

2210 Wrightsville Ave
Suite 5
Wilmington, NC 28403-2406

Mailing address

2210 Wrightsville Ave
Suite 5
Wilmington, NC 28403-2406
Phone (910) 763-0355

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1598742553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 WRIGHTSVILLE AVE",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032406",
            "telephone_number": "910-763-0355",
            "fax_number": "910-763-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 WRIGHTSVILLE AVE",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032406",
            "telephone_number": "910-763-0355",
            "fax_number": "910-763-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. CRISP, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-763-0355",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "4624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.