Krista M Crowley, DDS
Individual provider Active NPI Dentist · Kenton, OH
NPI 1851770747 · NPPES record last updated Jan 30, 2018
Key facts
- NPI
- 1851770747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30-024459 (OH)
- Practice address
- 965 E Columbus St
Kenton, OH 43326-1650 - Phone
- (419) 675-2210
- Fax
- (419) 675-2216
- NPI assigned
- May 25, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-024459 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-024459 | OH | Yes |
Addresses
Primary practice location
965 E Columbus St
Kenton, OH 43326-1650
Mailing address
965 E Columbus St
Kenton, OH 43326-1650
Phone (419) 675-2210
Other providers in Kenton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.