Active NPI
Dennis Wayne Crabb, MD
- Surgery Physician
- Denison, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 18961
- Practice address
- 115 N 14TH St
Denison, IA 51442-1452 - Phone
- (712) 263-5071
- Fax
- (712) 263-6106
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 18961 | IA | Primary |
| General Practice Physician | 208D00000X | 18961 | IA |
Addresses
Primary practice location
115 N 14TH St
Denison, IA 51442-1452
Mailing address
115 N 14TH St
Denison, IA 51442-1452
Phone (712) 263-5071
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18961 | Other | IA | LICENSE NUMBER |
| 0141002 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18961 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford County Memorial Hospital | Current | Accepting new patients | |
| Crawford County Memorial Hospital | Surgery | Current | Accepting new patients |
| Crawford County Memorial Hospital | Current | Accepting new patients | |
| Crawford County Memorial Hospital | Current | Accepting new patients | |
| Crawford County Memorial Hospital | Past | Accepting new patients | |
| Denison Medical and Surgical Associates, P.C. | Surgery | Past | Accepting new patients |
Locations
100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500
115 N 14th St
Denison, IA 51442
Phone (712) 263-5071
100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021
2016 1st Ave S
Denison, IA 51442
Phone (712) 263-3388
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Denison, IA
- NPI 1578555116
-
- Emergency Care Clinic/Center
- Denison, IA
- NPI 1619969086
-
- Surgery Physician
- Denison, IA
- NPI 1780865964
-
dba CCMH Medical Clinic
- Rural Health Clinic/Center
- Denison, IA
- NPI 1104893700
Surgery
-
- Certified Registered Nurse Anesthetist
- Denison, IA
- NPI 1699748327
-
- Medical Physician Assistant
- Manilla, IA
- NPI 1730359878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1760453302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N 14TH ST",
"city": "DENISON",
"state": "IA",
"postal_code": "514421452",
"telephone_number": "712-263-5071",
"fax_number": "712-263-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N 14TH ST",
"city": "DENISON",
"state": "IA",
"postal_code": "514421452",
"telephone_number": "712-263-5071",
"fax_number": "712-263-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABB",
"first_name": "DENNIS",
"middle_name": "WAYNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "18961",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IA",
"license": "18961",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "18961",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0141002",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denison, IA
- County of Crawford (Crawford County Community Health)
- County of Crawford (Crawford County Community Health)
- County of Crawford (HCCMS Family Health Services)
- County of Crawford (Crawford County Community Health)
- County of Crawford (Crawford County Community Health)
- Crawford County Clinic PC
- Crawford County Memorial Hospital
- Crawford County Memorial Hospital (CCMH Medical Clinic)
- Crawford County Memorial Hospital (CCMH Medical Clinic - City Center)
- Crawford County Memorial Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.