Individual provider Active NPI

Charles Harmon Crawford Jr., DMD

  • Pediatric Dentistry
  • Rock Hill, SC
National Provider Identifier
1740288844
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0255 Issued in SC
Practice address
1236 Ebenezer Rd
Ste 110
Rock Hill, SC 29732-2300
Phone
(803) 324-7540
Fax
(803) 324-4128
NPI assigned
Jul 12, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0255 SC Primary

Addresses

Primary practice location

1236 Ebenezer Rd
Ste 110
Rock Hill, SC 29732-2300

Mailing address

1236 Ebenezer Rd
Ste 110
Rock Hill, SC 29732-2300
Phone (803) 324-7540

Other identifiers 1

IdentifierTypeStateIssuer
444824MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0255SCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles H. Crawford, Jr DMD Pediatric Dentistry Past Accepting new patients
Jackson Pediatric Dentistry LLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740288844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 EBENEZER RD",
            "address_2": "STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322300",
            "telephone_number": "803-324-7540",
            "fax_number": "803-324-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 EBENEZER RD",
            "address_2": "STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322300",
            "telephone_number": "803-324-7540",
            "fax_number": "803-324-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHARLES",
        "middle_name": "HARMON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "0255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444824",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.