Organization Active NPI

Crossley Dental Associates PC

  • General Practice Dentistry
  • Watertown, NY
National Provider Identifier
1023376282
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047466-1 Issued in NY
Legal business name
CROSSLEY DENTAL ASSOCIATES PC
Practice address
145 Clinton Street
Suite 112
Watertown, NY 13601-3664
Phone
(315) 788-3240
Fax
(315) 788-1279
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew E.C. Crossley, DMD
Title
Owner
Phone
(315) 788-3240

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 047466-1 NY Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D23947 NY

Addresses

Primary practice location

145 Clinton Street
Suite 112
Watertown, NY 13601-3664

Mailing address

145 Clinton Street
Suite 112
Watertown, NY 13601-3664
Phone (315) 788-3240

National Provider Directory

National Provider Directory

Locations

145 Clinton St
Ste 112
Watertown, NY 13601
Phone (315) 788-3240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1023376282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CLINTON STREET",
            "address_2": "SUITE 112",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013664",
            "telephone_number": "315-788-3240",
            "fax_number": "315-788-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CLINTON STREET",
            "address_2": "SUITE 112",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013664",
            "telephone_number": "315-788-3240",
            "fax_number": "315-788-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLEY DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "CROSSLEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E.C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-788-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047466-1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "D23947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.