Individual provider Active NPI

Steven C. Crowson, D.M.D.

  • General Practice Dentistry
  • Chico, CA
National Provider Identifier
1710038310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31769 Issued in CA
Practice address
1206 Esplanade
Chico, CA 95926-3329
Phone
(530) 891-8951
Fax
(530) 891-6890
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31769 CA Primary

Addresses

Primary practice location

1206 Esplanade
Chico, CA 95926-3329

Mailing address

1206 Esplanade
Chico, CA 95926-3329
Phone (530) 891-8951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160425002522 CA Order and Referring Only - DentistPractitioner - Dentist 0547569519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31769CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710038310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263329",
            "telephone_number": "530-891-8951",
            "fax_number": "530-891-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263329",
            "telephone_number": "530-891-8951",
            "fax_number": "530-891-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWSON",
        "first_name": "STEVEN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.