Individual provider Active NPI

Kristen K Crutchfield, DDS

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1609437326
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30025882 Issued in OH
Practice address
2520 Madison Rd
Cincinnati, OH 45208-1257
Phone
(513) 363-9110
Fax
(513) 357-7385
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30025882 OH Primary

Addresses

Primary practice location

2520 Madison Rd
Cincinnati, OH 45208-1257

Mailing address

3101 Burnet Ave
Cincinnati, OH 45229-3014
Phone (513) 357-7291

Other practice location 1

3101 Burnet Ave
Cincinnati, OH 45229-3014
Phone (513) 363-9110

Other identifiers 1

IdentifierTypeStateIssuer
0356938MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
30025882OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1609437326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293014",
            "telephone_number": "513-357-7291",
            "fax_number": "513-357-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081257",
            "telephone_number": "513-363-9110",
            "fax_number": "513-357-7385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Burnet Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293014",
            "country_code": "US",
            "telephone_number": "513-363-9110",
            "fax_number": "513-357-7385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "KRISTEN",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2025-07-17",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30025882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356938",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.