Active NPI
Kevin Ray Crum
- Sleep Specialist (PhD)
- Suffolk, VA
National Provider Identifier
1811234305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Specialist (PhD)
- License
- S4308419
- Practice address
- 3031 Silver Charm Cir
Suffolk, VA 23435-3342 - Phone
- (757) 675-6400
- NPI assigned
- Jan 3, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Specialist (PhD) | 173F00000X | S4308419 | VA | Primary |
Addresses
Primary practice location
3031 Silver Charm Cir
Suffolk, VA 23435-3342
Mailing address
3031 Silver Charm Cir
Suffolk, VA 23435-3342
Phone (757) 675-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4308419 | VA | MD | Sleep Specialist (PhD) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Sleep Center LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sleep Disorder Diagnostic Clinic/Center
- Chesapeake, VA
- NPI 1194169284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1811234305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 SILVER CHARM CIR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353342",
"telephone_number": "757-675-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 SILVER CHARM CIR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353342",
"telephone_number": "757-675-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUM",
"first_name": "KEVIN",
"middle_name": "RAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "173F00000X",
"taxonomy_group": "",
"desc": "Sleep Specialist, PhD",
"state": "VA",
"license": "S4308419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.