JOHN P. CRISP, DDS, PLLC (NPI# 1598742553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598742553 |
| Entity Type | Organization |
| Organization Name | JOHN P. CRISP, DDS, PLLC |
| Practice Address |
2210 Wrightsville Ave Suite 5 Wilmington NC 28403-2406 |
| Practice Telephone | 9107630355 |
| Practice Fax Number | 9107630358 |
| Mailing Telephone | 9107630355 |
| Mailing Fax Number | 9107630358 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2012-10-11 |
| Authorized Official Name | JOHN P. CRISP (OWNER) |
| Authorized Official Telephone | 9107630355 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4624 | NC | Dental Providers |
| Street Address |
2210 WRIGHTSVILLE AVE SUITE 5 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679650451 | Southern Cross Commuinty Services Inc | Counselor | 2210 Wrightsville Ave, Suite 4-d, Wilmington, NC 28403-2575 | 2006-11-01 |
| 1154427110 | Beasley, Inc. | Chiropractor | 2210 Wrightsville Ave, Suite 3c, Wilmington, NC 28403-2575 | 2006-09-16 |
| 1821035692 | Sean Alan Reese | Chiropractor | 2210 Wrightsville Ave, Suite 3c, Wilmington, NC 28403-2406 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689120438 | Travis Moore | Dentist | 2210 Wrightsville Ave Ste 5, Wilmington, NC 28403-2575 | 2016-08-31 |
| 1114158292 | Mariam Kamel Labib- Soliman | Dentist | 2036 Foulk Rd Ste 203, Wilmington, DE 19810-3650 | 2009-08-06 |
| 1093922106 | W. Christopher Ward | Dentist | 6329 Oleander Dr, Suite 100, Wilmington, NC 28403-3569 | 2007-05-17 |
| 1750434585 | Wade Christopher Ward | Dentist | 1117 Medical Center Dr, Wilmington, NC 28401-7304 | 2007-01-18 |
| 1285790386 | Achara D O'brien | Dentist | 2601 Iron Gate Dr, Ste 204, Wilmington, NC 28412-6625 | 2006-12-31 |
| 1811080393 | John Patrick Crisp | Dentist | 2210 Wrightsville Avenue, Suite 5, Wilmington, NC 28403 | 2006-10-02 |
| 1083717094 | Kreshtool & Kim Endodontics Pa | Dentist | 1815 W 13th Street, Suite #7, Wilmington, DE 19806-4054 | 2006-09-06 |
| 1508876574 | Timothy Hall Mihle | Dentist | 1604 Physicians Dr Ste 101, Wilmington, NC 28401-7349 | 2006-08-09 |
| 1093367435 | Travis R. Moore, D.m.d., P.l.l.c. | Dentist | 2210 Wrightsville Ave Ste 5, Wilmington, NC 28403-2575 | 2019-07-16 |
| 1336484690 | Prudent Endodontics | Dentist | 2036 Foulk Rd, 203, Wilmington, DE 19810-3648 | 2012-11-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on JOHN P. CRISP, DDS, PLLC.
| 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.