Andrew Earl Crow, D.D.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5607-015 Issued in WI

Practice address

508A Vincent St
Stevens Point, WI 54481-1848

Phone

(715) 344-6390

Fax

(715) 344-9888

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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 WI

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

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861518045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508A VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811848",
            "telephone_number": "715-344-6390",
            "fax_number": "715-344-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508A VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811848",
            "telephone_number": "715-344-6390",
            "fax_number": "715-344-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "ANDREW",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5607-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtesy Carriers, Inc.
• Jodi L Cox, LAT, ATC
• Rachel Danae Craig, AU.D.
• Ann Marie Crivello, COTA
• Victor Cronce, RN, ACLS, EMT-PMED
• Jon-Ross Crow, D.D.S.
• Sarah Crow, DPT
• Leia Cruz-Perez, RN
• Gary Dean Cumley, SPEECH-LANGUAGE PATH
• Don L Custodio, MD

• Dental Clinic/Center in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.