Active NPI
George Crow, DMD
- Periodontics
- San Diego, CA
National Provider Identifier
1740481456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 59161
- Practice address
- 16253 Pinto Ridge Dr
San Diego, CA 92127-3425 - Phone
- (858) 312-1024
- Fax
- (858) 312-1024
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 59161 | CA | Primary |
Addresses
Primary practice location
16253 Pinto Ridge Dr
San Diego, CA 92127-3425
Mailing address
16253 Pinto Ridge Dr
San Diego, CA 92127-3425
Phone (858) 312-1024
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59161 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1740481456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16253 PINTO RIDGE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921273425",
"telephone_number": "858-312-1024",
"fax_number": "858-312-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16253 PINTO RIDGE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921273425",
"telephone_number": "858-312-1024",
"fax_number": "858-312-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROW",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "59161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.