Individual provider Active NPI

Dennis Wayne Crabb, MD

  • Surgery Physician
  • Denison, IA
National Provider Identifier
1760453302
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
18961 Issued in IA
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

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18961OtherIALICENSE NUMBER
0141002MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000558 IA Practitioner - General Surgery 1052303534 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18961IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford County Memorial Hospital Current Accepting new patients
Crawford County Memorial Hospital Surgery CurrentSince May 13, 2013 Accepting new patients
Crawford County Memorial Hospital Current Accepting new patients
Crawford County Memorial Hospital CurrentSince May 13, 2013 Accepting new patients
Crawford County Memorial Hospital Past Accepting new patients
Denison Medical and Surgical Associates, P.C. Surgery PastSince Feb 19, 1978 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.

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

Sources for this page

Verify at the official NPI Registry.