Individual provider Active NPI

Jody Lynn Crowl, DDS

  • Dentist
  • Laurel, MT
National Provider Identifier
1700997608
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1965 Issued in MT
Practice address
113 W Main St
Laurel, MT 59044
Phone
(406) 628-8741
Fax
(406) 633-4226
NPI assigned
Aug 31, 2006
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1965 MT Primary

Addresses

Primary practice location

113 W Main St
Laurel, MT 59044

Mailing address

PO Box 338
Laurel, MT 59044
Phone (406) 628-8741

Other identifiers 2

IdentifierTypeStateIssuer
0111670MedicaidMT
5510839OtherMTBLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20160301001296 MT Order and Referring Only - DentistPractitioner - Dentist 8325343239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jody L. Crowl, D.D.S. CurrentSince Jul 9, 2025 Accepting new patients

Locations

113 W Main St
Laurel, MT 59044
Phone (406) 628-8741

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1700997608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "59044",
            "telephone_number": "406-628-8741",
            "fax_number": "406-633-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W MAIN ST",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "59044",
            "telephone_number": "406-628-8741",
            "fax_number": "406-633-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWL",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "1965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111670",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "5510839",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MT

Sources for this page

Verify at the official NPI Registry.