Jon-Ross Crow, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7257-15 Issued in WI

Practice address

15 Park Ridge Dr
Stevens Point, WI 54481-4345

Phone

(715) 344-6390

NPI assigned

Apr 15, 2014

Last updated

Sep 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1891114021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK RIDGE DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544814345",
            "telephone_number": "715-344-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK RIDGE DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544814345",
            "telephone_number": "715-344-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "JON-ROSS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7257-15",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi L Cox, LAT, ATC
• Rachel Danae Craig, AU.D.
• Ann Marie Crivello, COTA
• Victor Cronce, RN, ACLS, EMT-PMED
• Andrew Earl Crow, D.D.S.
• Sarah Crow, DPT
• Leia Cruz-Perez, RN
• Gary Dean Cumley, SPEECH-LANGUAGE PATH
• Don L Custodio, MD
• Douglas J Cybela, PHD

• General Practice Dentistry in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.