Active NPI
Jonathan Froyd Crawford, DDS
- Dentist
- Ames, IA
National Provider Identifier
1942373220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08403
- Practice address
- 515 Grand Ave Ste 102
Ames, IA 50010-6061 - Phone
- (515) 232-2090
- Fax
- (515) 232-7660
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 08403 | IA | Primary |
Addresses
Primary practice location
515 Grand Ave Ste 102
Ames, IA 50010-6061
Mailing address
515 Grand Ave Ste 102
Ames, IA 50010-6061
Phone (515) 232-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160212001928 | IA | Order and Referring Only - Other (Physician) | 6406150366 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08403 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford Endodontics, PLLC | 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.
-
- Endodontics
- Ames, IA
- NPI 1245544436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1942373220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 GRAND AVE STE 102",
"city": "AMES",
"state": "IA",
"postal_code": "500106061",
"telephone_number": "515-232-2090",
"fax_number": "515-232-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 GRAND AVE STE 102",
"city": "AMES",
"state": "IA",
"postal_code": "500106061",
"telephone_number": "515-232-2090",
"fax_number": "515-232-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JONATHAN",
"middle_name": "FROYD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
- Claire Denise Copper I
- Cornerstone Caregiving East LLC
- Cornerstone Counseling Center of Ames, Inc
- Thyra Louise Cox, BA, RN, MSN, CDE
- Crawford Endodontics, PLLC
- Jordan Nicole Crawford, D.D.S.
- Lance Wayne Crawford, D.D.S, M.S.
- Creative Counseling and Intervention Services, Inc.
- Michael Jeffrey Crew, DDS
- Kyle Crist
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.