Individual provider Active NPI

John Burns Crawford, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vacaville, CA
National Provider Identifier
1932309077
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
25791 Issued in CA
Practice address
412 Cernon St
Suite B
Vacaville, CA 95688-4549
Phone
(707) 447-0900
Fax
(707) 447-0956
NPI assigned
Jul 18, 2007
Last updated
Jul 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 25791 CA Primary

Addresses

Primary practice location

412 Cernon St
Suite B
Vacaville, CA 95688-4549

Mailing address

412 Cernon St
Suite B
Vacaville, CA 95688-4549
Phone (707) 447-0900

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

LicenseStateTypeSpecialty
25791CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
John B. Crawford DDS Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1932309077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CERNON ST",
            "address_2": "SUITE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884549",
            "telephone_number": "707-447-0900",
            "fax_number": "707-447-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CERNON ST",
            "address_2": "SUITE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884549",
            "telephone_number": "707-447-0900",
            "fax_number": "707-447-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JOHN",
        "middle_name": "BURNS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "25791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

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

Verify at the official NPI Registry.