Active NPI
Leroy S Crapanzano Jr., D.D.S.
- General Practice Dentistry
- Clyde, NC
National Provider Identifier
1992779730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7736
- Practice address
- 157 Paragon Parkway
Haywood County Health Department
Clyde, NC 28721 - Phone
- (828) 452-6701
- NPI assigned
- Feb 16, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7736 | NC | Primary |
Addresses
Primary practice location
157 Paragon Parkway
Haywood County Health Department
Clyde, NC 28721
Mailing address
157 Paragon Parkway Suite 800
Haywood County Health Department
Clyde, NC 28721
Phone (828) 452-6701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900093 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7736 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1992779730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 PARAGON PARKWAY SUITE 800",
"address_2": "HAYWOOD COUNTY HEALTH DEPARTMENT",
"city": "CLYDE",
"state": "NC",
"postal_code": "28721",
"telephone_number": "828-452-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 PARAGON PARKWAY",
"address_2": "HAYWOOD COUNTY HEALTH DEPARTMENT",
"city": "CLYDE",
"state": "NC",
"postal_code": "28721",
"telephone_number": "828-452-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAPANZANO",
"first_name": "LEROY",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900093",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.