Candace Crowe, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8287 Issued in NC

Practice address

1706 S Main St
Kannapolis, NC 28081-5924

Phone

(704) 932-5000

Fax

(704) 932-5006

NPI assigned

Feb 16, 2007

Last updated

Nov 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

Locations

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

• County of Union

  dba Union Co Hlth Dept - Clinical Services

  • Nurse Practitioner
  • Monroe, NC
  • NPI 1386787422
  Medicare reassignment NPD
• Bhavana Jayaram LLC

  dba Kannapolis Pediatric Dentistry

  • General Practice Dentistry
  • Kannapolis, NC
  • NPI 1427516830
  NPD (past)
• Union County Public Schools

  • Local Education Agency (LEA)
  • Monroe, NC
  • NPI 1548327489
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1609910629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S MAIN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815924",
            "telephone_number": "704-932-5000",
            "fax_number": "704-932-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S MAIN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815924",
            "telephone_number": "704-932-5000",
            "fax_number": "704-932-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "CANDACE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "8287",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8287",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14726",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC  DENTAL LICENSE",
            "identifier": "8287",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905149",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DENTAL LICENSE",
            "identifier": "14726",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Creative Living Associates
• Angela Simoneaux Crenshaw
• Sonia Ivette Cubero, P.T.
• Phylicia Currence, LCSW
• Kayla Elizabeth Daugherty, MS, RDN, LDN
• David E Thome DDS PLLC I
• David E Thome DDS PLLC V (Cabarrus Pediatric Dentistry)

• General Practice Dentistry in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.