Organization Active NPI

Crawford Orthodontics, SC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kenosha, WI
National Provider Identifier
1861340465
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Mar 19, 2026

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1053604777MedicaidWI
1356563449MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.