Active NPI
John J. Crumpton DMD, P.C.
- General Practice Dentistry
- Cleveland, GA
National Provider Identifier
1821260340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012314
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012314 | GA | Primary |
| General Practice Dentistry | 1223G0001X | DN009672 | GA | |
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 664016008L | Medicaid | GA | |
| 000936823B | Medicaid | GA | |
| 000379398L | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Cleveland, GA
- NPI 1316021454
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
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- Ingles Markets Inc (Ingles Pharmacy #489)
- J H Telfords Sons Inc (Griffin Drug Store)
- Joe Reed Opticians
- Holly Johns, LPC
- Patrick Brooks Johnson, PTA
- Ashley Lauren Jones McDonald, LCSW
- Heather Michele Jones, FNP-C
- K&S Murray LLC (Visiting Angels of Northeast Georgia)
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.