George a Cripps DDS PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

9406 Issued in MI

Legal business name

GEORGE A CRIPPS DDS PC

Practice address

6714 Division Ave S
Grand Rapids, MI 49548-7808

Phone

(616) 455-7310

Fax

(616) 455-0332

NPI assigned

Feb 6, 2008

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George A Cripps, DDSNPI 1790781441

Title

President

Phone

(616) 455-7310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George A Cripps, D.D.S.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1790781441
  NPD (past) Authorized official

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1750569323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 DIVISION AVE S",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487808",
            "telephone_number": "616-455-7310",
            "fax_number": "616-455-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 DIVISION AVE S",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487808",
            "telephone_number": "616-455-7310",
            "fax_number": "616-455-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A CRIPPS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "CRIPPS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-455-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "9406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4018095",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Gentry
• Tiana Gentry
• Genx Applied Technology LLC
• Melista Dee Genzink, LMSW
• Austin Marie Georgacakes
• Aaron George
• Albert V George
• Alexis George
• Hannah Rose George
• Kailie George

• Oral and Maxillofacial Surgery Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.