Crossroads Pediatric Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12007759 Issued in IN

Legal business name

CROSSROADS PEDIATRIC DENTISTRY PC

Practice address

21781 Omega CT
Goshen, IN 46528-7809

Phone

(574) 875-6531

Fax

(574) 875-8256

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael F Bigler, DDSNPI 1730390816

Title

President

Phone

(574) 875-6531

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Michael F. Bigler, DDS

  • Pediatric Dentistry
  • Goshen, IN
  • NPI 1730390816
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1043319619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21781 OMEGA CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287809",
            "telephone_number": "574-875-6531",
            "fax_number": "574-875-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21781 OMEGA CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287809",
            "telephone_number": "574-875-6531",
            "fax_number": "574-875-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BIGLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-875-6531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12007759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100065260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Danielle Cripe, FNP-C
• David Lyle Cripe, O.D.
• Stephanie Lynn Cross, NP
• Crossroads Healing Arts LLC
• Crossroads Health & Cosmetic Center PC
• Crossroads Therapy Practice LLC
• Cara Culp
• Judy M. Culp
• Malinda Curtis
• Cynthia S. Creighton, M.S., Otr

• Dental Clinic/Center in Goshen, IN
• Providers in Goshen, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.