Michael Lee Crovatt, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 9579 Issued in FL

Practice address

3001 Eastland Blvd
Suite 8
Clearwater, FL 33761-4104

Phone

(727) 791-1450

Fax

(727) 791-0149

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811056583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EASTLAND BLVD",
            "address_2": "SUITE 8",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614104",
            "telephone_number": "727-791-1450",
            "fax_number": "727-791-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EASTLAND BLVD",
            "address_2": "SUITE 8",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614104",
            "telephone_number": "727-791-1450",
            "fax_number": "727-791-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROVATT",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 9579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naree Crone, LPN
• Colleen Mocco Crooms, PH.D.
• David Keith Crossan, PT
• Richard David Crossland, DMD
• Pamela Kay Crouch, MA,CCC.SLP
• Mary Ann Crowder, EDD, LMHC, NCC, CAP
• Terrissa Brooke Crowl, DDS
• David P Crowley, LPT DC
• Emily Crowther
• Marion Leigh Crozier, ARNP

• Dentist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.