DR. THOMAS BRADLEY CRUMP (NPI# 1689678252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689678252 |
| Entity Type | Individual |
| Full Name | DR. THOMAS BRADLEY CRUMP |
| Credential | D.D.S., M.S. |
| Practice Address |
3100 Monticello Ave Ste 825 Dallas TX 75205-3437 |
| Practice Telephone | 2144430876 |
| Practice Fax Number | 2144430877 |
| Mailing Telephone | 2144430876 |
| Mailing Fax Number | 2144430877 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2017-03-06 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
18997 | TX | Dental Providers |
| Street Address |
3100 MONTICELLO AVE STE 825 |
| City | DALLAS |
| State | TX |
| Zip Code | 75205-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619476710 | Tabatha Norton | Specialist/Technologist, Other | 3100 Monticello Ave, Dallas, TX 75205-3442 | 2018-02-05 |
| 1790219939 | Jamie Mermis | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2017-04-14 |
| 1295272375 | Shannon Boyd | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2017-01-26 |
| 1306382064 | Vicente Gonzales | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2017-01-18 |
| 1235675497 | Margiben Patel | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2017-01-12 |
| 1386196053 | Charles Jones | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2016-10-28 |
| 1295285518 | Amber Williams | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2016-10-11 |
| 1336697523 | Hannah Johnson | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2016-09-15 |
| 1922555747 | Tracie Hardin | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2016-09-09 |
| 1306393137 | Ashley Gulley | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2016-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298337 | Nap Diagnostics, Pllc | Electrodiagnostic Medicine | 4514 Cole Avenue Suite 600, Dallas, TX 75205 | 2019-11-04 |
| 1639578123 | Adam Martin | Specialist/Technologist, Other | 3001 Monticello, 210, Dallas, TX 75205 | 2014-08-20 |
| 1639598725 | Henry Brown Mobley | Internal Medicine | 3416 Cornell Ave., Dallas, TX 75205 | 2014-04-16 |
| 1780016857 | Heather Gano, Md, Pllc | Anesthesiology | 4447 N Central Expy Suite 110 #264, Dallas, TX 75205 | 2013-07-31 |
| 1134463961 | Dallas Emergency Dental | Dentist | 3001 Knox Ste. # 300 B, Dallas, TX 75205 | 2012-11-16 |
| 1982957270 | Ziba Tarighi Tarighi | Physician Assistant | 3414 Milton, University Park, TX 75205 | 2012-10-24 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1548574148 | Gd Radiology, Pa | Radiology | 5709 Hillcrest Ave. #d, Dallas, TX 75205 | 2010-08-06 |
| 1063746006 | Andrew W Randall Dds & Assoicates, PC | Dentist | 6805 Hillcrest Avenue, Suite 218, Dallas, TX 75205 | 2009-09-23 |
| 1902031875 | Dan Allen Myers | Psychiatry & Neurology | 5110 Tracy Street, Dallas, TX 75205 | 2009-05-21 |
| Find all providers in zip 75205 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077374 | Toothhq Dental Specialists Dallas Pllc | Dentist | 6333 E Mockingbird Ln Ste 254, Dallas, TX 75214-2307 | 2019-11-12 |
| 1295124667 | North Dallas Dental Health Pllc | Dentist | 5465 Blair Road, Suite 200, Dallas, TX 75231 | 2015-01-22 |
| 1033324678 | Hsuch-ming Lee | Dentist | 17752 Preston Rd, Suite 100, Dallas, TX 75252-5699 | 2007-05-14 |
| 1356567218 | Dianne M Thomson | Dentist | 6009 Belt Line Road, Ste #120, Dallas, TX 75254 | 2007-04-18 |
| 1679693790 | Stephen Kenneth Harrel | Dentist | 10246 Midway Rd, #101, Dallas, TX 75229-6233 | 2007-03-30 |
| 1215057989 | Mark Erwin Glover | Dentist | 8226 Douglas Ave Ste 601, Dallas, TX 75225-5928 | 2007-03-29 |
| 1568595502 | Eduardo Tanur | Dentist | 8722 Greenville Ave Ste 100, Dallas, TX 75243-7165 | 2007-03-13 |
| 1881721462 | Deborah Mhari Foyle | Dentist | 6333 E Mockingbird Lane, Suite 254, Dallas, TX 75214 | 2007-02-28 |
| 1295877991 | Frederick E Olden | Dentist | 8215 Westchester Dr Ste 230, Dallas, TX 75225-6116 | 2007-02-12 |
| 1205988441 | Drs. Stukalin, P.a. | Dentist | 5925 Forest Ln Ste 318, Dallas, TX 75230-2776 | 2007-01-17 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.