Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Keith Robert Crandall, DPM

Foot & Ankle Surgery Podiatrist in Tyler, TX · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104125780

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Registry record

Entity type Individual (Type 1)

Name Keith Robert Crandall

Credential DPM

Sex Male

Practice address 1605 Stafford Dr, Tyler, TX, 75703

Phone (903) 941-9247

Fax (888) 503-2519

Enumeration date Mar 21, 2011

Last updated in NPPES Jul 5, 2022

Taxonomy & licenses

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License BN6420119-057356 (OH) Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 2066 (TX) Primary

DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Keith Crandall?

The National Provider Identifier (NPI) for Keith Crandall is 1104125780, a Type 1 (individual) record in the CMS NPPES registry.

Where does Keith Crandall practice?

The practice location on file with NPPES is in Tyler, TX. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-05.