Individual provider Active NPI

Chase Elliott Crowley, D.D.S., M.S.

  • Endodontics
  • Las Vegas, NV
National Provider Identifier
1922412030
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
S7-94 Issued in NV
Practice address
4450 N Tenaya Way Ste 240
Las Vegas, NV 89129-7140
Phone
(702) 463-5000
NPI assigned
Jun 17, 2014
Last updated
Aug 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-024176 OH
Endodontics 1223E0200X S7-94 NV Primary

Addresses

Primary practice location

4450 N Tenaya Way Ste 240
Las Vegas, NV 89129-7140

Mailing address

10487 Beckaville Ave
Las Vegas, NV 89129-3226
Phone (702) 461-9830

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30-024176OHMDDentist
S7-94NVMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1922412030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10487 BECKAVILLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293226",
            "telephone_number": "702-461-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 N TENAYA WAY STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297140",
            "telephone_number": "702-463-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "CHASE",
        "middle_name": "ELLIOTT",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024176",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-94",
            "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 Aug 25, 2016; 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.