Organization Active NPI

Mark a. Crabtree DDS, LTD.

  • General Practice Dentistry
  • Martinsville, VA
National Provider Identifier
1609922913
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARK A. CRABTREE DDS, LTD.
Practice address
407 Starling Ave
Martinsville, VA 24112-3731
Phone
(276) 632-9266
NPI assigned
Jan 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Anderson Crabtree, D.D.S.
Title
President
Phone
(276) 632-9266

Specialties & licenses 1

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

Addresses

Primary practice location

407 Starling Ave
Martinsville, VA 24112-3731

Mailing address

407 Starling Ave
Martinsville, VA 24112-3731
Phone (276) 632-9266

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609922913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 STARLING AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123731",
            "telephone_number": "276-632-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 STARLING AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123731",
            "telephone_number": "276-632-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. CRABTREE DDS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-632-9266",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.