Organization Active NPI

Thane Evans Crump DDS PC

  • Endodontics
  • Watertown, SD
National Provider Identifier
1831391499
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
M 750 Issued in SD
Legal business name
THANE EVANS CRUMP DDS PC
Practice address
600 4TH St NE
Suite 208
Watertown, SD 57201-1898
Phone
(605) 753-6824
NPI assigned
Jun 4, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Thane Crump, DDSNPI 1710195896
Title
Dentist, Owner
Phone
(605) 753-6824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X M 750 SD Primary
Pediatric Dentistry 1223P0221X M 750 SD

Addresses

Primary practice location

600 4TH St NE
Suite 208
Watertown, SD 57201-1898

Mailing address

600 4TH St NE
Suite 208
Watertown, SD 57201-1898
Phone (605) 753-6824

Other names 1

  • Lake Area Pediatric Dentistry Other name

National Provider Directory

National Provider Directory

Locations

600 4th St NE
Ste 208
Watertown, SD 57201
Phone (605) 753-5437

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1831391499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST NE",
            "address_2": "SUITE 208",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011898",
            "telephone_number": "605-753-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST NE",
            "address_2": "SUITE 208",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011898",
            "telephone_number": "605-753-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANE EVANS CRUMP DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "THANE",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "605-753-6824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SD",
            "license": "M 750",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SD",
            "license": "M 750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Area Pediatric Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.