Organization Active NPI

Crawford Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1619191764
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CRAWFORD FAMILY & COSMETIC DENTISTRY
Practice address
1131 Rutherford Rd
Greenville, SC 29609-3905
Phone
(864) 271-9062
Fax
(864) 271-9067
NPI assigned
Apr 12, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Glenda P Crawford, D.M.D.NPI 1477671840
Title
President
Phone
(864) 271-9062

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
General Practice Dentistry 1223G0001X SC Primary

Addresses

Primary practice location

1131 Rutherford Rd
Greenville, SC 29609-3905

Mailing address

1131 Rutherford Rd
Greenville, SC 29609-3905
Phone (864) 271-9062

National Provider Directory

National Provider Directory

Locations

1131 Rutherford Rd
Greenville, SC 29609
Phone (864) 271-9062

Practitioners & affiliated clinicians

Practitioners 4

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619191764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093905",
            "telephone_number": "864-271-9062",
            "fax_number": "864-271-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093905",
            "telephone_number": "864-271-9062",
            "fax_number": "864-271-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-271-9062",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.