Organization Active NPI

Leonard E. Crabtree, D.D.S., Inc.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1609920990
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7443 Issued in TX
Legal business name
LEONARD E. CRABTREE, D.D.S., INC.
Practice address
1011 Augusta Dr
Suite 209
Houston, TX 77057-2062
Phone
(713) 623-0700
Fax
(713) 977-1190
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Leonard E. Crabtree, D.D.S.
Title
President
Phone
(713) 623-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7443 TX Primary

Addresses

Primary practice location

1011 Augusta Dr
Suite 209
Houston, TX 77057-2062

Mailing address

1011 Augusta Dr
Suite 209
Houston, TX 77057-2062
Phone (713) 623-0700

Other identifiers 2

IdentifierTypeStateIssuer
00R638OtherTXBLUE CROSS BLUE SHIELD
789132OtherTXUNITED CONCORDIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1609920990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 AUGUSTA DR",
            "address_2": "SUITE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572062",
            "telephone_number": "713-623-0700",
            "fax_number": "713-977-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 AUGUSTA DR",
            "address_2": "SUITE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572062",
            "telephone_number": "713-623-0700",
            "fax_number": "713-977-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD E. CRABTREE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-623-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "7443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00R638",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "789132",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.