Active NPI
Crawford Orthodontic Care, P.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Norcross, GA
National Provider Identifier
1861610081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN009310
- Legal business name
- CRAWFORD ORTHODONTIC CARE, P.C.
- Practice address
- 3850 Holcomb Bridge Rd
Suite 230
Norcross, GA 30092-5223 - Phone
- (770) 447-5311
- Fax
- (770) 447-1865
- NPI assigned
- Apr 23, 2007
- 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
- Mr. Keith Scott Crawford
- Title
- Owner
- Phone
- (770) 447-5311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN009310 | GA | Primary |
Addresses
Primary practice location
3850 Holcomb Bridge Rd
Suite 230
Norcross, GA 30092-5223
Mailing address
3850 Holcomb Bridge Rd
Suite 230
Norcross, GA 30092-5223
Phone (770) 447-5311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00217797B | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Crawford Orthodontic Care
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Cumming, GA
- NPI 1134317464
-
- Dental Clinic/Center
- McDonough, GA
- NPI 1306034145
-
- Dental Clinic/Center
- Duluth, GA
- NPI 1831387661
Locations
3850 Holcomb Bridge Rd
Ste 230
Norcross, GA 30092
Phone (404) 846-7603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861610081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 HOLCOMB BRIDGE RD",
"address_2": "SUITE 230",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300925223",
"telephone_number": "770-447-5311",
"fax_number": "770-447-1865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 HOLCOMB BRIDGE RD",
"address_2": "SUITE 230",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300925223",
"telephone_number": "770-447-5311",
"fax_number": "770-447-1865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAWFORD ORTHODONTIC CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-447-5311",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN009310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00217797B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.