Russell Jared Crane, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010401 Issued in AZ

Practice address

35004 N North Valley Pkwy Ste 110
Phoenix, AZ 85086-3255

Phone

(623) 879-9503

Fax

(623) 587-6453

NPI assigned

Jun 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Russell J Crane PLLC

  dba John G Wood DDS

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1730750076
  NPD Authorized official

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1851952501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 W BEHREND DR APT 2064",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086929",
            "telephone_number": "208-358-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35004 N NORTH VALLEY PKWY STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863255",
            "telephone_number": "623-879-9503",
            "fax_number": "623-587-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35004 N North Valley Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850863255",
            "country_code": "US",
            "telephone_number": "623-879-9503",
            "fax_number": "623-587-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANE",
        "first_name": "RUSSELL",
        "middle_name": "JARED",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lowell Crandall, M.D.
• Ryan Crandall, D.C.
• Crane Harbor Wellness, LLC
• Elizabeth Crane
• Hillary Danielle Crane
• Shelley Crane, LMT, NCTMB
• Tracy Crane
• William A Crane Jr., M.D.
• Christopher Sabin Cranford, M.D.
• Cranial Technologies Inc

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.