Active NPI
Michael D Crawford Sr., DDS
- Dentist
- San Diego, CA
National Provider Identifier
1972628196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23815
- Practice address
- 5060 Logan Ave
San Diego, CA 92113 - Phone
- (619) 262-0706
- Fax
- (619) 262-4216
- NPI assigned
- Mar 20, 2007
- Last updated
- Sep 26, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 23815 | CA | Primary |
Addresses
Primary practice location
5060 Logan Ave
San Diego, CA 92113
Mailing address
PO Box 13646
San Diego, CA 92113
Phone (619) 262-0706
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B23815 | Other | CA | NHA DELLA DENTAL |
| G92247 | Other | CA | DENTICAL |
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 |
|---|---|---|---|
| 23815 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael D Crawford DDS Inc | Dentist | 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": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1972628196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13646",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92113",
"telephone_number": "619-262-0706",
"fax_number": "619-262-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 LOGAN AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92113",
"telephone_number": "619-262-0706",
"fax_number": "619-262-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "23815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHA DELLA DENTAL",
"identifier": "B23815",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "G92247",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.