David G Crabtree DDS PLLC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

904800 Issued in CO

Legal business name

DAVID G CRABTREE DDS PLLC

Practice address

5010 El Camino Dr
Colorado Springs, CO 80918-2130

Phone

(719) 599-7453

Fax

(719) 599-8631

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Johnston

Title

Office Manager

Phone

(719) 599-7453

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crabtree Dental Center Doing business as

Tax ID family

Crabtree Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• David G Crabtree DDS PLLC

  • Dentist
  • Colorado Springs, CO
  • NPI 1710397187
  NPD tax ID

Locations

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1619375409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 EL CAMINO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182130",
            "telephone_number": "719-599-7453",
            "fax_number": "719-599-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 EL CAMINO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182130",
            "telephone_number": "719-599-7453",
            "fax_number": "719-599-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G CRABTREE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-599-7453",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "904800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12052779",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crabtree Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Lynn Davern, PA
• David a Shapiro, PH.D., P.C.
• David Andrew Benson, DDS, PLLC
• David C Hopkins PHD PC
• David Doyle, PC
• David G Crabtree DDS PLLC
• David M. Jones, MD
• David M. McCarty, DMD PC
• David M. Morford, DPM, LLC
• David M. Webb, DDS

• All providers in Colorado Springs, CO
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.