Criswell & Criswell, P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

CRISWELL & CRISWELL, P.A.

Doing business as

Criswell & Criswell Plastic Surgery

Practice address

15105 John J Delaney Dr
Suite E
Charlotte, NC 28277-2847

Phone

(704) 424-5050

Fax

(704) 424-1020

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bryan K Criswell, M.D.NPI 1487667267

Title

President

Phone

(708) 204-0101

Specialties & licenses 1

Addresses

Other names 1

• Criswell & Criswell Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan K Criswell, MD

  • Surgery Physician
  • Charlotte, NC
  • NPI 1487667267
  Medicare reassignment Care Compare group NPD Authorized official
• Kara Kane Criswell, M.D.

  • Plastic Surgery Physician
  • Charlotte, NC
  • NPI 1669686572
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1710165915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 JOHN J DELANEY DR",
            "address_2": "SUITE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772847",
            "telephone_number": "704-424-5050",
            "fax_number": "704-424-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 JOHN J DELANEY DR",
            "address_2": "SUITE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772847",
            "telephone_number": "704-424-5050",
            "fax_number": "704-424-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISWELL & CRISWELL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "CRISWELL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-204-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Criswell & Criswell Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katlyn Crisp, AU.D
• Ria Crissinger, LCMHCA
• Jon Anthony Cristino, CRNA
• Mikayla Mary Cristino, PA
• Elizabeth Louise Cristy
• Bryan K Criswell, MD
• Kara Kane Criswell, M.D.
• Sean Randall Crites, MD
• Maleah J Crocker
• Latoya Crockett

• Plastic Surgery Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.