Individual provider Active NPI

Laura Suzanne Crowe, D.D.S.

  • General Practice Dentistry
  • Saratoga, CA
National Provider Identifier
1629180963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42911 Issued in CA
Practice address
19000 Cox Ave
Suite C
Saratoga, CA 95070-4155
Phone
(408) 257-5300
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42911 CA Primary

Addresses

Primary practice location

19000 Cox Ave
Suite C
Saratoga, CA 95070-4155

Mailing address

19000 Cox Ave
Suite C
Saratoga, CA 95070-4155
Phone (408) 257-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310002100 CA Order and Referring Only - DentistPractitioner - Dentist 8325344716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42911CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura S Crowe DDS Inc CurrentSince Jan 29, 2023 Accepting new patients

Locations

19000 Cox Ave
Ste C
Saratoga, CA 95070
Phone (408) 257-5300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629180963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 COX AVE",
            "address_2": "SUITE C",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704155",
            "telephone_number": "408-257-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 COX AVE",
            "address_2": "SUITE C",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704155",
            "telephone_number": "408-257-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "LAURA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.