Organization Active NPI

Russell J Crane PLLC

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1730750076
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RUSSELL J CRANE PLLC
Practice address
20100 N 51St Ave Ste E550
Glendale, AZ 85308-5089
Phone
(623) 561-2400
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Dr. Russell Jared Crane, DMDNPI 1851952501
Title
Owner
Phone
(623) 561-2400

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

20100 N 51St Ave Ste E550
Glendale, AZ 85308-5089

Mailing address

20100 N 51St Ave Ste E550
Glendale, AZ 85308-5089
Phone (623) 561-2400

Other names 1

  • JOHN G WOOD DDS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@johnwooddds.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1730750076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE STE E550",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085089",
            "telephone_number": "623-561-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE STE E550",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085089",
            "telephone_number": "623-561-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J CRANE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-561-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@johnwooddds.com",
            "affiliation": "N",
            "address_1": "20100 N 51st Ave Ste E550",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853085089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JOHN G WOOD DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.