Cross Creek Dental Care - Mount Vernon,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18705 Issued in OH

Legal business name

CROSS CREEK DENTAL CARE - MOUNT VERNON,LLC

Practice address

214 E Chestnut St
Mount Vernon, OH 43050-3447

Phone

(740) 725-8000

NPI assigned

Dec 6, 2012

Last updated

Dec 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James T Leon, DDSNPI 1780870287

Title

Owner

Phone

(740) 725-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• James T Leon, D.D.S.

  • Dentist
  • Marion, OH
  • NPI 1780870287
  Authorized official Same address or phone

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1114262847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E CHESTNUT ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503447",
            "telephone_number": "740-725-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E CHESTNUT ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503447",
            "telephone_number": "740-725-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CREEK DENTAL CARE - MOUNT VERNON,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-725-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "X RAY REGISTRATION",
            "identifier": "BL1311531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Cox
• Pamela L Craycraft, LISW
• Alan L Crescuillo, DC
• James P Crescuillo, DC CCSP
• Donovan Shane Crisp, AA
• Andrianna Cross, CDCA
• Kimber Cullers, NP
• Paige Cunningham, APRN-CNP
• Stephen Aaron Cupp
• Melissa Curry

• General Practice Dentistry in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.