Crump Enterprises

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

D4161 Issued in ID

Legal business name

CRUMP ENTERPRISES

Practice address

11311 W Chinden Blvd
Boise, ID 83714-1021

Phone

(208) 908-4430

NPI assigned

Dec 22, 2011

Organization subpart

No

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

Authorized official

Name

Kimberly Dawn Smith

Title

Manager

Phone

(208) 376-7413

Specialties & licenses 1

Addresses

Other names 1

• Boise Family Dental Care Doing business as

Locations

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1831468651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 W CHINDEN BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141021",
            "telephone_number": "208-908-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 W CHINDEN BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141021",
            "telephone_number": "208-908-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUMP ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-376-7413"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ID",
            "license": "D4161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Croy
• Crum Chiropractic, LLC
• Aaron James Crum, M.D.
• Eric R Crum, DC, MPH
• Geneve Crume, NP
• Steven S Crump, D.M.D.
• Diana R Crumrine, ND
• Amy E Crunk, M.S.
• Bryan Cruthirds, RN
• Maribel Cruz Barroso, LPN

• Point of Service in Boise, ID
• Providers in Boise, ID by specialty
• Point of Service in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.