NPIMap

Organization Active NPI

Larry B. Crawford, D.D.S., M.S.D., Inc.

Doing business as California Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Riverside, CA
National Provider Identifier
1922391390
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
32639 Issued in CA
Legal business name
LARRY B. CRAWFORD, D.D.S., M.S.D., INC.
Doing business as
California Braces
Practice address
301 E Alessandro Blvd Ste 3B
Riverside, CA 92508-2464
Phone
(951) 789-1888
Fax
(951) 789-8878
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dr. Larry B. Crawford, D.D.S., M.S.D.NPI 1740492081
Title
President
Phone
(951) 789-1888

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 Dentistry 1223X0400X 32639 CA Primary

Addresses

Primary practice location

301 E Alessandro Blvd Ste 3B
Riverside, CA 92508-2464

Mailing address

301 E Alessandro Blvd Ste 3B
Riverside, CA 92508-2464
Phone (951) 789-1888

Other names 1

  • California Braces Doing business as

National Provider Directory

National Provider Directory

Locations

301 E Alessandro Blvd
Ste 3B
Riverside, CA 92508
Phone (951) 789-1888

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": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1922391390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E ALESSANDRO BLVD STE 3B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925082464",
            "telephone_number": "951-789-1888",
            "fax_number": "951-789-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E ALESSANDRO BLVD STE 3B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925082464",
            "telephone_number": "951-789-1888",
            "fax_number": "951-789-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY B. CRAWFORD, D.D.S., M.S.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-789-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "32639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.