Active NPI
Caris Crow, D.D.S., M.A.G.D.
- Dentist
- Las Vegas, NV
National Provider Identifier
1912962598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1093
- Practice address
- 2880 E Flamingo Rd
Suite H
Las Vegas, NV 89121-5223 - Phone
- (702) 737-6080
- Fax
- (702) 699-9085
- NPI assigned
- Apr 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1093 | NV | Primary |
Addresses
Primary practice location
2880 E Flamingo Rd
Suite H
Las Vegas, NV 89121-5223
Mailing address
2880 E Flamingo Rd
Suite H
Las Vegas, NV 89121-5223
Phone (702) 737-6080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1093 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912962598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 E FLAMINGO RD",
"address_2": "SUITE H",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215223",
"telephone_number": "702-737-6080",
"fax_number": "702-699-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 E FLAMINGO RD",
"address_2": "SUITE H",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215223",
"telephone_number": "702-737-6080",
"fax_number": "702-699-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROW",
"first_name": "CARIS",
"credential": "D.D.S., M.A.G.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "1093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.