J. Andrew Craycroft, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6137 Issued in KY

Practice address

1711 Ashley Cir
Suite 3
Bowling Green, KY 42104-5801

Phone

(270) 781-4997

Fax

(270) 781-8557

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• J. Andrew Craycroft D.M.D. Inc.

  • General Practice Dentistry
  • Bowling Green, KY
  • NPI 1295011880
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1669517140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 ASHLEY CIR",
            "address_2": "SUITE 3",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045801",
            "telephone_number": "270-781-4997",
            "fax_number": "270-781-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 ASHLEY CIR",
            "address_2": "SUITE 3",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045801",
            "telephone_number": "270-781-4997",
            "fax_number": "270-781-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYCROFT",
        "first_name": "J.",
        "middle_name": "ANDREW",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60061371",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Crabtree, LPCC
• Matthew Tanner Crabtree, DO
• Bethany Crask, RD
• Camryn Crass
• Bradley Eugene Crawford
• Tyler Creek, RBT
• Thomas Michael Crevar, DC
• Lauren Chavira Crews, PHARMD
• Stacy Crews
• Pamela Crisp, AUD

• General Practice Dentistry in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.