Organization Active NPI

Michael H Crowley DDS PS

  • General Practice Dentistry
  • Bellingham, WA
National Provider Identifier
1649392499
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5821 Issued in WA
Legal business name
MICHAEL H CROWLEY DDS PS
Practice address
3400 Squalicum Pkwy
Suite 103
Bellingham, WA 98225-1933
Phone
(360) 734-6728
Fax
(360) 756-8970
NPI assigned
Apr 4, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Michael H Crowley, DDS PSNPI 1255414421
Title
Owner Dentist
Phone
(360) 734-6728

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 DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5821 WA Primary

Addresses

Primary practice location

3400 Squalicum Pkwy
Suite 103
Bellingham, WA 98225-1933

Mailing address

3400 Squalicum Pkwy
Suite 103
Bellingham, WA 98225-1933
Phone (360) 734-6728

Other identifiers 2

IdentifierTypeStateIssuer
5083100MedicaidWA
86382OtherWALABOR & INDUSTRIES

National Provider Directory

National Provider Directory

Locations

3400 Squalicum Pkwy
Ste 103
Bellingham, WA 98225
Phone (360) 734-6728

Practitioners & affiliated clinicians

Practitioners 2

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649392499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SQUALICUM PKWY",
            "address_2": "SUITE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251933",
            "telephone_number": "360-734-6728",
            "fax_number": "360-756-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SQUALICUM PKWY",
            "address_2": "SUITE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251933",
            "telephone_number": "360-734-6728",
            "fax_number": "360-756-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H CROWLEY DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "360-734-6728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5083100",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "86382",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.