Organization Active NPI

Justin L Crowley DDS, LLC

  • General Practice Dentistry
  • Sandusky, OH
National Provider Identifier
1992363204
Registry record updated Jun 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JUSTIN L CROWLEY DDS, LLC
Practice address
2102 Campbell St
Sandusky, OH 44870-4816
Phone
(419) 625-7083
NPI assigned
Jun 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2019

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

Authorized official

Name
Justin Crowley, DDSNPI 1992159826
Title
Member
Phone
(419) 625-7083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2102 Campbell St
Sandusky, OH 44870-4816

Mailing address

2102 Campbell St
Sandusky, OH 44870-4816
Phone (419) 625-7083

National Provider Directory

National Provider Directory

Locations

2102 Campbell St
Sandusky, OH 44870
Phone (419) 625-1481

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559347200000",
    "number": "1992363204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CAMPBELL ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704816",
            "telephone_number": "419-625-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 CAMPBELL ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704816",
            "telephone_number": "419-625-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN L CROWLEY DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-01",
        "last_updated": "2019-06-01",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "419-625-7083",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; 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.