Active NPI
Crawford Orthodontics, SC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kenosha, WI
National Provider Identifier
1861340465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- CRAWFORD ORTHODONTICS, SC
- Practice address
- 7851 Cooper Rd
Kenosha, WI 53142-4181 - Phone
- (262) 694-5272
- Fax
- (262) 694-3121
- NPI assigned
- Mar 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Preble
- Title
- Financial Coordinator
- Phone
- (262) 694-5272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
7851 Cooper Rd
Kenosha, WI 53142-4181
Mailing address
7851 Cooper Rd
Kenosha, WI 53142-4181
Phone (262) 694-5272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053604777 | Medicaid | WI | |
| 1356563449 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
7851 Cooper Rd
Kenosha, WI 53142
Phone (262) 694-5191
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kenosha, WI
- NPI 1356563449
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kenosha, WI
- NPI 1053604777
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kenosha, WI
- NPI 1952005126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1861340465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7851 COOPER RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531424181",
"telephone_number": "262-694-5272",
"fax_number": "262-694-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7851 COOPER RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531424181",
"telephone_number": "262-694-5272",
"fax_number": "262-694-3121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAWFORD ORTHODONTICS, SC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "PREBLE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "FINANCIAL COORDINATOR",
"authorized_official_telephone_number": "262-694-5272"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053604777",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356563449",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.