NPIMap

Organization Active NPI

Richard a. Crinzi, DDS, Ms, PS

  • Dental Clinic/Center
  • Redmond, WA
National Provider Identifier
1104197714
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4194 Issued in WA
Legal business name
RICHARD A. CRINZI, DDS, MS, PS
Practice address
15955 NE 85TH St
Suite #104
Redmond, WA 98052-3550
Phone
(425) 881-3255
Fax
(425) 885-1366
NPI assigned
Jan 13, 2012
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Richard Alex Crinzi, DDSNPI 1376511642
Title
Owner
Phone
(425) 881-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4194 WA Primary

Addresses

Primary practice location

15955 NE 85TH St
Suite #104
Redmond, WA 98052-3550

Mailing address

15955 NE 85TH St
Suite 104
Redmond, WA 98052-3550
Phone (425) 881-3255

Other identifiers 1

IdentifierTypeStateIssuer
G 000101106OtherWAUPIN T-01572

National Provider Directory

National Provider Directory

Locations

15955 NE 85th St
Ste 104
Redmond, WA 98052
Phone (425) 881-3255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1104197714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST",
            "address_2": "SUITE 104",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523550",
            "telephone_number": "425-881-3255",
            "fax_number": "425-885-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST",
            "address_2": "SUITE #104",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523550",
            "telephone_number": "425-881-3255",
            "fax_number": "425-885-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. CRINZI, DDS, MS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "CRINZI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-881-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN T-01572",
            "identifier": "G 000101106",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.