Katie E Crow-Goates, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4037 Issued in AR

Practice address

2533 State Highway 22 W
Dardanelle, AR 72834-8831

Phone

(479) 229-3891

Fax

(479) 229-2264

NPI assigned

May 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Katie E Crow Former name

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

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.

• Dardanelle Family Dentistry

  • Dentist
  • Dardanelle, AR
  • NPI 1508246489
  NPD Authorized official

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1902286453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728340447",
            "telephone_number": "479-229-3891",
            "fax_number": "479-229-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 STATE HIGHWAY 22 W",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728348831",
            "telephone_number": "479-229-3891",
            "fax_number": "479-229-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW-GOATES",
        "first_name": "KATIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-30",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "CROW",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anastasia Desiree Christensen, APRN
• Heather Coffman
• Angie Nichole Crane
• Katie Rae Crawford, PA-C
• Tammy Creekmore, COTA
• Joshua Craig Cummins, PHARM. D.
• Stevie Cursh, LPC
• Tina Curtis, LPC
• Amy Christina Dallas, APN
• Thomas Nathan Daniel, M.D.

• All providers in Dardanelle, AR
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.