Steven G Crump DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00005406 Issued in WA

Legal business name

STEVEN G CRUMP DDS

Practice address

3606 S Regal St
Spokane, WA 99223-4648

Phone

(509) 534-5353

Fax

(509) 534-5760

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Steven Glenn Crump, D.D.S.

Title

Owner

Phone

(509) 534-5353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1982157905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 S REGAL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234648",
            "telephone_number": "509-534-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 S REGAL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234648",
            "telephone_number": "509-534-5353",
            "fax_number": "509-534-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G CRUMP DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-534-5353",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002627",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.