NPIMap

Organization Active NPI

Charles N Crowder DMD PC

Doing business as Crowder Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dothan, AL
National Provider Identifier
1881883429
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5203 Issued in AL
Legal business name
CHARLES N CROWDER DMD PC
Doing business as
Crowder Orthodontics
Practice address
334 John D Odom Rd
Dothan, AL 36303-9479
Phone
(334) 792-5124
Fax
(334) 793-2049
NPI assigned
Oct 19, 2007
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Dr. Charles Newton Crowder, DMD MPH MSNPI 1124536917
Title
President
Phone
(334) 792-5124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 5203 AL Primary

Addresses

Primary practice location

334 John D Odom Rd
Dothan, AL 36303-9479

Mailing address

334 John D Odom Rd
Dothan, AL 36303-9479
Phone (334) 792-5124

Other identifiers 1

IdentifierTypeStateIssuer
5203OtherAL LICENSE

Other names 1

  • Crowder Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1881883429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 JOHN D ODOM RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039479",
            "telephone_number": "334-792-5124",
            "fax_number": "334-793-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 JOHN D ODOM RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039479",
            "telephone_number": "334-792-5124",
            "fax_number": "334-793-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES N CROWDER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-792-5124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MPH MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL LICENSE",
            "identifier": "5203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crowder Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.