Organization Active NPI

Crawford Gause Klos Reynolds & Yeager PA

  • General Practice Dentistry
  • St Petersburg, FL
National Provider Identifier
1952334641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10265 Issued in FL
Legal business name
CRAWFORD GAUSE KLOS REYNOLDS & YEAGER PA
Practice address
7300 4TH St N
St Petersburg, FL 33702
Phone
(727) 521-1818
Fax
(727) 525-3686
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas W Crawford, DMD
Title
Ceo
Phone
(727) 521-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 10265 FL Primary

Addresses

Primary practice location

7300 4TH St N
St Petersburg, FL 33702

Mailing address

7300 4TH St N
St Petersburg, FL 33702
Phone (727) 521-1818

Other names 1

  • St Petersburg Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

7300 4th St N
St Petersburg, FL 33702
Phone (727) 521-1818

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952334641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-521-1818",
            "fax_number": "727-525-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-521-1818",
            "fax_number": "727-525-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD GAUSE KLOS REYNOLDS & YEAGER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-521-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "10265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Petersburg Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.