Charles E Crowl, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9811 Issued in KY

Practice address

3801 S Hurstbourne Pkwy
Louisville, KY 40299-7319

Phone

(502) 709-9430

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Magnolia Dental

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1689183642
  NPD (past) Authorized official
• Hidden Lakes Dental Care, P.C.

  • Dentist
  • Bolingbrook, IL
  • NPI 1649378571
  NPD (past) Authorized official
• KKB, LLC

  • Dental Clinic/Center
  • Bolingbrook, IL
  • NPI 1245768191
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831298769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402997319",
            "telephone_number": "502-709-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402997319",
            "telephone_number": "502-709-9430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 W Boughton Rd",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604402185",
            "country_code": "US",
            "telephone_number": "630-759-0077",
            "fax_number": "630-759-0082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWL",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-020700",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Crowe
• Marlene Crowe, CADC, BA
• Susie Joanne Crowe, PHARMD
• Chloe Jenelle Crowell, OTD, OTR/L
• Jason Crowell
• Allison Crowley, LCSW
• Charlotte R Crowley, M.D.
• Crownedtwo LLC.
• Anne Crowner
• CRS Behavioral Healthcare Corporation

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.