NPIMap

Organization Active NPI

St.Elmo W. Crawford D.D.S.P.C.

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1720297344
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN3272 Issued in DC
Legal business name
ST.ELMO W. CRAWFORD D.D.S.P.C.
Practice address
1922 Benning Rd NE
Washington, DC 20002-4724
Phone
(202) 399-2244
Fax
(202) 388-1115
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. St.Elmo Wallace Crawford Jr., D.D.S.NPI 1457697591
Title
President
Phone
(202) 399-2244

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DEN3272 DC Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X DEN3272 DC
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X DEN3272 DC

Addresses

Primary practice location

1922 Benning Rd NE
Washington, DC 20002-4724

Mailing address

1922 Benning Rd NE
Washington, DC 20002-4724
Phone (202) 399-2244

Other identifiers 2

IdentifierTypeStateIssuer
035217400MedicaidDC
016851500MedicaidDC

Other names 1

  • Connecticut Avenue Dental Other name

National Provider Directory

National Provider Directory

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1720297344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024724",
            "telephone_number": "202-399-2244",
            "fax_number": "202-399-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024724",
            "telephone_number": "202-399-2244",
            "fax_number": "202-388-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.ELMO W. CRAWFORD D.D.S.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "ST.ELMO",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-399-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN3272",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN3272",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "DC",
            "license": "DEN3272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035217400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016851500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Avenue Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.