Venesa Marie Crumpley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7967 Issued in NC

Practice address

2630 W Arrowood Rd Ste C
Charlotte, NC 28273-6263

Phone

(980) 263-2330

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vcrumpley2965226@carolinashealthcaresystem.direct-ci.com

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.

• Marcela Mujica DMD

  • Pediatric Dentistry
  • Charlotte, NC
  • NPI 1215343421
  NPD (past)
• Marcela Mujica DMD II PLLC

  • Pediatric Dentistry
  • Monroe, NC
  • NPI 1578052635
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1669569174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 SETON HOUSE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774520",
            "telephone_number": "910-691-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W ARROWOOD RD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736263",
            "telephone_number": "980-263-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3007 Wesley Chapel Stouts Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281104008",
            "country_code": "US",
            "telephone_number": "704-684-4451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMPLEY",
        "first_name": "VENESA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7967",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9277",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "7967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "8475",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY STATE DENTAL LICENSE",
            "identifier": "9277",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DENTAL LICENSE",
            "identifier": "7967",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiara Sade Crumby
• Reagan Mae Crummey, OTR/L
• Kathryn B Crump, PSYD.
• Kathy Raisbeck Crump, PA-C
• Laura Jean Crumpler, PA-C
• Daryl Crutchfield
• Lisa Michelle Cruz Aviles, MD
• Jose Luis Cruz Prado, PHARMD
• Stephanie Cruz-Guzman
• Dolores J Cruz, PTA

• Dentist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.