Organization Active NPI

John J. Crumpton DMD, P.C.

  • General Practice Dentistry
  • Cleveland, GA
National Provider Identifier
1821260340
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012314 Issued in GA
Legal business name
JOHN J. CRUMPTON DMD, P.C.
Practice address
1018 S Main St
Cleveland, GA 30528-1419
Phone
(706) 865-0357
Fax
(706) 348-1828
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Ms. Tammy Renee Drawdy
Title
Office Manager
Phone
(706) 865-0357

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN012314 GA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN009672 GA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN009444 GA

Addresses

Primary practice location

1018 S Main St
Cleveland, GA 30528-1419

Mailing address

1018 S Main St
Cleveland, GA 30528-1419
Phone (706) 865-0357

Other identifiers 3

IdentifierTypeStateIssuer
664016008LMedicaidGA
000936823BMedicaidGA
000379398LMedicaidGA

National Provider Directory

National Provider Directory

Locations

1018 S Main St
Cleveland, GA 30528
Phone (706) 865-0357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1821260340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 S MAIN ST",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281419",
            "telephone_number": "706-865-0357",
            "fax_number": "706-348-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 S MAIN ST",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281419",
            "telephone_number": "706-865-0357",
            "fax_number": "706-348-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. CRUMPTON DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "DRAWDY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-865-0357",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012314",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009672",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009444",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "664016008L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000936823B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000379398L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.