Michael D Crawford DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

23815 Issued in CA

Legal business name

MICHAEL D CRAWFORD DDS INC

Practice address

5060 Logan Ave
San Diego, CA 92113

Phone

(619) 262-0706

Fax

(619) 262-4207

NPI assigned

Dec 19, 2006

Organization subpart

No

Name

Michael D Crawford Sr., DDSNPI 1972628196

Title

President

Phone

(619) 262-0706

Organizations that report the same tax identification number in the National Provider Directory.

• Michael D Crawford DDS Inc

  • Dentist
  • San Diego, CA
  • NPI 1891858403
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael D Crawford Sr., DDS

  • Dentist
  • San Diego, CA
  • NPI 1972628196
  NPD (past) Authorized official
• Doris N/a Fill, DDS

  • Dentist
  • San Diego, CA
  • NPI 1700030947
  NPD (past)
• Julian Anthony Wade, DDS

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1821565490
  NPD (past)
• Kristen Guptill, DDS

  • Dentist
  • Traverse City, MI
  • NPI 1255725115
  NPD (past)

Tax ID family

Crawford Dental Group (2 organizations share this tax ID)

Locations

• Crawford Dental Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2012.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1851454870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13646",
            "address_2": "5060 LOGAN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92113",
            "telephone_number": "619-262-0706",
            "fax_number": "619-262-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 LOGAN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92113",
            "telephone_number": "619-262-0706",
            "fax_number": "619-262-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D CRAWFORD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-262-0706",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "23815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9224701",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL HEALTHY FAMI",
            "identifier": "B2381501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael a. Rintala, Professional Chiropractic Corporation
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• Michael C Wong MD Medical Corp
• Michael C. Jang, M.D., Inc.
• Michael D Crawford DDS Inc
• Michael G. McMahon Professional Dental Corporation
• Michael Gaspari Physical Therapy, P.C.
• Michael Goldhamer M. D. Inc.
• Michael H. Ho, DDS. Inc

• All providers in San Diego, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.