Active NPI
Dr. Crandell DDS
- Dental Clinic/Center
- Portage, MI
National Provider Identifier
1619880085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DR. CRANDELL DDS
- Practice address
- 5040 Lovers LN
Portage, MI 49002-1557 - Phone
- (269) 345-0053
- NPI assigned
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Crandell, DDS
- Title
- Dentist/Owner
- Phone
- (269) 345-0053
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5040 Lovers LN
Portage, MI 49002-1557
Mailing address
5040 Lovers LN
Portage, MI 49002-1557
Phone (269) 345-0053
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Kalamazoo, MI
- NPI 1447477096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1619880085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5040 LOVERS LN",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021557",
"telephone_number": "269-345-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 LOVERS LN",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021557",
"telephone_number": "269-345-0053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. CRANDELL DDS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "CRANDELL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "269-345-0053",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.