Crdental,PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CRDENTAL,PLLC

Practice address

1107 S Macarthur Blvd
Irving, TX 75060-3827

Phone

(972) 254-2273

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Chaitanya Raval, DDSNPI 1619319662

Title

Dentist

Phone

(630) 815-9633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chaitanya H Raval, D.D.S.

  • General Practice Dentistry
  • Irving, TX
  • NPI 1619319662
  NPD Authorized official

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1801357637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E ROYAL LN APT 3003",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393571",
            "telephone_number": "630-815-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603827",
            "telephone_number": "972-254-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRDENTAL,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "RAVAL",
        "authorized_official_first_name": "CHAITANYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-815-9633",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Renee Crawford Ellis, D.D.S.
• Adam Clay Crawford, M.D.
• Adaora Nkechi Crawford
• Lauren Crawford, AUD
• Olivia Ann Crawford
• Avery A Creech, AUD
• Creed Medical Solutions LLC
• Megan Janell Cremeens, MS, CF-SLP
• Crescent Care LLC
• Crescent Dental-Ingram

• Dental Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.