Crawford Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60757 Issued in KS

Legal business name

CRAWFORD DENTAL

Practice address

1115 S Main St
Fort Scott, KS 66701-2651

Phone

(620) 223-4448

Fax

(620) 223-9957

NPI assigned

Jun 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Timothy P. Crawford, D.M.D

Title

Dentist/Owner

Phone

(620) 223-4448

Specialties & licenses 1

Addresses

Other names 1

• Fort Scott Family Dental Doing business as

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1700290491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S MAIN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012651",
            "telephone_number": "620-223-4448",
            "fax_number": "620-223-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S MAIN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012651",
            "telephone_number": "620-223-4448",
            "fax_number": "620-223-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "620-223-4448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "60757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Scott Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Cornett, FNP-C
• Ethan Neil Couch, D.C.
• County of Bourbon
• Crank Chiropractic Care Inc
• Erin M Crank, D.C.
• Haley Crupper
• Hugo Dahlstrom
• Paul Lee Daniels, PSYD
• Steven Davidson
• Heather Catherine Davis, DC

• Dental Clinic/Center in Fort Scott, KS
• Providers in Fort Scott, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.