Grace E. Crary, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D5686 Issued in OR

Practice address

611 SW Campus Dr
RM. 805
Portland, OR 97239-3001

Phone

(503) 494-0732

Fax

(503) 494-7931

NPI assigned

Jun 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669811352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SW CAMPUS DR",
            "address_2": "RM. 805",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393001",
            "telephone_number": "503-494-0732",
            "fax_number": "503-494-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SW CAMPUS DR",
            "address_2": "RM. 805",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393001",
            "telephone_number": "503-494-0732",
            "fax_number": "503-494-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRARY",
        "first_name": "GRACE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D5686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORMING PROVIDER",
            "identifier": "149518",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202952",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Christofer Crane, MD
• Marlene Joanne Crank, RDH
• Brandi Lynn Crape
• Nicholas Mathias Thomas Crapser, MA
• Ronnie Jo Crapser
• Heather Crary
• Rachel Craven, MD
• Renee Tatanya Craven
• Sarah Frances Craven, MD
• Tyler Joseph Craven, DMD

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• 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.