IndividualActive
Jack Creswell
NPI 1720964554 · Community/Behavioral Health Agency · Fairbanks, AK
Jack Creswell is a Community/Behavioral Health Agency provider in Fairbanks, AK (NPI 1720964554).
Provider details
- NPI number
- 1720964554
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2550 Lawlor Rd
Fairbanks, AK 99709-6458
Phone: (907) 452-0800
Street-level locationGet directions
Mailing address
797 Juniper Dr Apt E
Fairbanks, AK 99712-2764
Registry dates
- Enumerated
- 2025-08-15
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Jack Creswell's NPI number?
- Jack Creswell's National Provider Identifier (NPI) is 1720964554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Creswell's specialty?
- Jack Creswell is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency (Agencies).
- Where is Jack Creswell located?
- Jack Creswell's practice location on file with NPPES is 2550 Lawlor Rd, Fairbanks, AK 99709-6458.
- What is Jack Creswell's phone number?
- The practice phone number listed in the NPPES registry for Jack Creswell is (907) 452-0800.
- Is Jack Creswell's NPI active?
- Yes — Jack Creswell's NPI (1720964554) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.