Individual provider Active NPI

Cornel Crasnean, DDS

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1871746966
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57167 Issued in CA
Practice address
3301 S Bear St Apt 35D
Santa Ana, CA 92704-7256
Phone
(714) 357-1289
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 57167 CA Primary

Addresses

Primary practice location

3301 S Bear St Apt 35D
Santa Ana, CA 92704-7256

Mailing address

3301 S. Bear St.
Apt 35D
Santa Ana, CA 92704-7256
Phone (714) 357-1289

Other identifiers 1

IdentifierTypeStateIssuer
57167OtherCACA DENTAL LICENSE NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160708001655 CA Order and Referring Only - DentistPractitioner - Dentist 5890087027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57167CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1871746966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S. BEAR ST.",
            "address_2": "APT 35D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047256",
            "telephone_number": "714-357-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S BEAR ST APT 35D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047256",
            "telephone_number": "714-357-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRASNEAN",
        "first_name": "CORNEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTAL LICENSE NO.",
            "identifier": "57167",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.