Randolph Robert Cross, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

62890 Issued in CA

Practice address

390 S Green Valley Rd Ste 7
Watsonville, CA 95076-3077

Phone

(831) 536-5295

Fax

(831) 536-5296

NPI assigned

Jun 2, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Randolph Cross DDS, a Professional Corporation

  • Endodontics
  • Watsonville, CA
  • NPI 1528843323
  NPD Authorized official

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1073807426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S GREEN VALLEY RD STE 7",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763077",
            "telephone_number": "831-536-5295",
            "fax_number": "831-536-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S GREEN VALLEY RD STE 7",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763077",
            "telephone_number": "831-536-5295",
            "fax_number": "831-536-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "RANDOLPH",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "62890",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Santa Cruz
• Court Appointed Special Advocates (Casa) of Santa Cruz County
• Rachael Cox
• Brian Criswell
• Douglas Crocker
• Georgia Claire Crowley
• Joni Cruz
• Sofia Cuentas-Nunez
• Sarah Ashley Cupps
• Eileen Cusick

• Endodontics in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.