R M Crane DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS019633L Issued in PA

Legal business name

R M CRANE DDS PC

Practice address

241 Point Township Dr.
Northumberland, PA 17857

Phone

(570) 473-1100

NPI assigned

Mar 27, 2007

Organization subpart

No

Name

Dr. Reynold Marvin Crane

Title

President

Phone

(570) 473-1100

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831217827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 POINT TOWNSHIP DR.",
            "address_2": "P O BOX 87",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "17857",
            "telephone_number": "570-473-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 POINT TOWNSHIP DR.",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "17857",
            "telephone_number": "570-473-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R M CRANE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "REYNOLD",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-473-1100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS019633L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH INSURANCE",
            "identifier": "50003624",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUESHIELD",
            "identifier": "96010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy, L.L.C.
• Kimberly Petusky, PTA
• Joan Pollock, RN
• Lusai Qiu
• R Bruce Thatcher DMD
• Rachel Reichley, OTR/L
• Hannah Roberts
• Robert E Schaffer-Neitz, MS, CCC-SLP
• Doris Ella Seasholtz
• Shea Alana Sechman, LCSW

• All providers in Northumberland, PA
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.