Jacob Michael Crist, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123963 Issued in GA

Practice address

6501 Veterans Pkwy BLDG 4a
Columbus, GA 31909-7207

Phone

(762) 261-1097

NPI assigned

Jun 20, 2024

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Twiilight Dental Care,LLC

  • Dental Clinic/Center
  • Columbus, GA
  • NPI 1275313538
  NPD
• Martin Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Benning, GA
  • NPI 1174726640
  NPD (past)

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1891539326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 VIGNY ST UNIT 1029",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314466",
            "telephone_number": "702-875-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 VETERANS PKWY BLDG 4A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097207",
            "telephone_number": "762-261-1097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Hoff St Bldg 9240",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319055645",
            "country_code": "US",
            "telephone_number": "706-544-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIST",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "13944804-9926",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Lauren Creed, NP-C
• Creme de la Creme
• Frances Irene Crenshaw, PT
• Cynthia Crews
• Tia Criag
• Laura Elizabeth Cromer
• Ryan Cromer, PHARMD
• Sabrina Renae Crosby Lopes, MS, LPC, NCC
• Cindy McClain Cross, RPH
• Dorothee Cross

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.