Thomas Bradley Crump, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

18997 Issued in TX

Practice address

3100 Monticello Ave
Ste 825
Dallas, TX 75205-3437

Phone

(214) 443-0876

Fax

(214) 443-0877

NPI assigned

Jun 10, 2005

Reactivated

Mar 21, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1689678252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MONTICELLO AVE",
            "address_2": "STE 825",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053437",
            "telephone_number": "214-443-0876",
            "fax_number": "214-443-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MONTICELLO AVE",
            "address_2": "STE 825",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053437",
            "telephone_number": "214-443-0876",
            "fax_number": "214-443-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "THOMAS",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2017-03-06",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "18997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Edward Crumley Jr., MD
• Brittany A Crump, RD, LD
• Kevin Crump
• Ma'Resia Crump
• Steven Mark Crump, L.P.C., L.C.D.C.
• Lindsey Marie Crumpacker
• Thomas Crumpton II, LOT, MOT
• Carolyn J Cruse, PSY.D
• Jackson Isaiah Crutch
• Jhasmun Crutcher, FNP-BC

• Periodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.