Joel Patrick Crane, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5895015 Issued in WI

Practice address

216 S Main St
Lodi, WI 53555-1121

Phone

(608) 592-4398

Fax

(608) 592-5245

NPI assigned

Sep 21, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lodi Valley Gentle Dental LLP

  • Dental Clinic/Center
  • Lodi, WI
  • NPI 1861694929
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740389238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551121",
            "telephone_number": "608-592-4398",
            "fax_number": "608-592-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551121",
            "telephone_number": "608-592-4398",
            "fax_number": "608-592-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "JOEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5895015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33796500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Brock, PHD
• Burlage Chiropractic Wellness Center LLC
• Thomas F Burlage, DC
• Andrea M Chao, MD
• Joel Robert Cooper, D.C.
• Divine Rehabilitation and Nursing at Lodi LLC
• David J Eberdt, PA
• Dale P Fanney, MD
• Melissa Faubert, D.O.
• Daryn Joseph Flentje, RN

• General Practice Dentistry in Lodi, WI
• Providers in Lodi, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.