Crystal Smiles PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CRYSTAL SMILES PC

Practice address

1412 Barnwell St
Columbia, SC 29201-3512

Phone

(803) 256-2333

Fax

(803) 256-1580

NPI assigned

Oct 23, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Crystal L. Johnson, DDSNPI 1912110685

Title

Doctor/Owner

Phone

(803) 256-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Crystal L. Johnson, DDS

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1912110685
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700075041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 BARNWELL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013512",
            "telephone_number": "803-256-2333",
            "fax_number": "803-256-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 BARNWELL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013512",
            "telephone_number": "803-256-2333",
            "fax_number": "803-256-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "803-256-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9587",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Allen Crutcher, M.D.
• Karla Jeannette Cruz Morel, M.D.
• Hayley Elizabeth Cruz, DO
• Maryann Cruz, MS, LPCA
• Michael Joseph Cryer, M.D.
• CSC Acquisition, LLC (Columbia Skin Clinic, LLC)
• Kyleigh Cubbage
• Theresa H Cuda, MD
• Leah E. Cuff, APRN
• Shari Cui, MD

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.