Active NPI
Kevin Edmond Cresci, DDS
- Dentist
- Dover Plains, NY
National Provider Identifier
1013042050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0358741
- Practice address
- 3211 Route 22 Ste 1
Dover Plains, NY 12522-5935 - Phone
- (845) 877-9294
- NPI assigned
- Feb 22, 2007
- Last updated
- Mar 31, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0358741 | NY | Primary |
Addresses
Primary practice location
3211 Route 22 Ste 1
Dover Plains, NY 12522-5935
Mailing address
644 Old State Route 22
Dover Plains, NY 12522-5822
Phone (845) 832-6325
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 |
|---|---|---|---|
| 0358741 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1013042050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 OLD STATE ROUTE 22",
"city": "DOVER PLAINS",
"state": "NY",
"postal_code": "125225822",
"telephone_number": "845-832-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 ROUTE 22 STE 1",
"city": "DOVER PLAINS",
"state": "NY",
"postal_code": "125225935",
"telephone_number": "845-877-9294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESCI",
"first_name": "KEVIN",
"middle_name": "EDMOND",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0358741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.