Kristen Renee Crawford Ellis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

29356 Issued in TX

Practice address

3365 Regent Blvd Ste 120
Irving, TX 75063-3126

Phone

(469) 351-6010

Fax

(469) 351-6009

NPI assigned

Jun 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Dr. Kristen Renee Crawford Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Love Your Smile Dentistry, PLLC

  • Dental Clinic/Center
  • Irving, TX
  • NPI 1063163293
  NPD Authorized official

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1811283450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633126",
            "telephone_number": "469-351-6010",
            "fax_number": "469-351-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633126",
            "telephone_number": "469-351-6010",
            "fax_number": "469-351-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD ELLIS",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014031509",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6244",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF DENTISTRY LICENSE",
            "identifier": "6244",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DENTAL LICENSE",
            "identifier": "29356",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DENTAL LICENSE",
            "identifier": "2014031509",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CRAWFORD",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clowie Crane
• Penny Crane, M.S., CCC-SLP
• Stephen Albert Cranston, D.P.M.
• Athena Karin Craven, P.A
• Edna Craven, D.C.
• Adam Clay Crawford, M.D.
• Adaora Nkechi Crawford
• Lauren Crawford, AUD
• Olivia Ann Crawford
• Crdental,PLLC

• Dentist in Irving, TX
• Providers in Irving, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.