Active NPI
Alan W Crawford, DDS
- Dentist
- Paragould, AR
National Provider Identifier
1972531739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2349
- Practice address
- 916 W Court St
Paragould, AR 72450-5921 - Phone
- (870) 239-3414
- Fax
- (870) 239-3244
- NPI assigned
- Jun 29, 2006
- 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 | 2349 | AR | Primary |
Addresses
Primary practice location
916 W Court St
Paragould, AR 72450-5921
Mailing address
916 W Court St
Paragould, AR 72450-5921
Phone (870) 239-3414
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 833635 | Other | AR | UNITED CONCORDIA |
| 58000 | Other | AR | BLUE CROSS BLUE SHIELD |
| 2349 | Other | AR | DELTA DENTAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2349 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garrett H. Webb, DDS, PA | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Paragould, AR
- NPI 1538588546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1972531739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 W COURT ST",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724505921",
"telephone_number": "870-239-3414",
"fax_number": "870-239-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 W COURT ST",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724505921",
"telephone_number": "870-239-3414",
"fax_number": "870-239-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "ALAN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "833635",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "58000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "2349",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.