NPIMap

Organization Active NPI

Paul a Crandall DMD PA

  • Dentist
  • Huntersville, NC
National Provider Identifier
1720263064
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7041 Issued in NC
Legal business name
PAUL A CRANDALL DMD PA
Doing business as
Artisan Dental Care
Practice address
16633 Birkdale Commons Pkwy
Suite 160
Huntersville, NC 28078
Phone
(704) 892-7488
Fax
(704) 892-3292
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Paul A Crandall, DMD PANPI 1639256480
Title
Dentist
Phone
(704) 892-7488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 7041 NC Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7041 NC

Addresses

Primary practice location

16633 Birkdale Commons Pkwy
Suite 160
Huntersville, NC 28078

Mailing address

16633 Birkdale Commons Pkwy
Suite 160
Huntersville, NC 28078
Phone (704) 892-7488

Other names 1

  • Artisan Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

16633 Birkdale Commons Pkwy
Ste 160
Huntersville, NC 28078
Phone (704) 892-7488

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1720263064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 BIRKDALE COMMONS PKWY",
            "address_2": "SUITE 160",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-892-7488",
            "fax_number": "704-892-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 BIRKDALE COMMONS PKWY",
            "address_2": "SUITE 160",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-892-7488",
            "fax_number": "704-892-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A CRANDALL DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-892-7488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7041",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artisan Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.