Active NPI
Charles Ernest Cripps, D.D.S.
- Dentist
- California City, CA
National Provider Identifier
1639372683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26370
- Practice address
- 22844 Virginia BL.
California City, CA 93505 - Phone
- (760) 373-3776
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26370 | CA | Primary |
Addresses
Primary practice location
22844 Virginia BL.
California City, CA 93505
Mailing address
9368 Green Rd
Pinon Hills, CA 92372-9781
Phone (760) 868-5262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26370 | Other | CA | DDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26370 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1639372683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9368 GREEN RD",
"city": "PINON HILLS",
"state": "CA",
"postal_code": "923729781",
"telephone_number": "760-868-5262",
"fax_number": "760-868-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22844 VIRGINIA BL.",
"city": "CALIFORNIA CITY",
"state": "CA",
"postal_code": "93505",
"telephone_number": "760-373-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIPPS",
"first_name": "CHARLES",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "26370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DDS",
"identifier": "26370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in California City, CA
- California R & R Consulting and Management Services LLC
- Chung Medical Corporation, Inc
- Jennifer Denise Collins, LMFT
- Community Health Alliance of Greater Aerospace Valley
- Corrections and Rehabilitation-Headquarters
- Karen Anne Crisp, MS CCC-SLP
- Day Rise Living Foundation
- Day Rise LLC
- Casey Diep, PHARMD
- Sybil R Dominguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.