Active NPI
Crystal Ann Edmister Pierson, D.D.S.
- Dentist
- Saipan, MP
National Provider Identifier
1134420359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0094
- Practice address
- Clinic1 Quartermaster Rd
Saipan Seventh-Day Adventist Clinic
Saipan, MP 96950 - Phone
- (670) 234-6008
- Fax
- (670) 234-0521
- NPI assigned
- Nov 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0094 | MP | Primary |
| Dentist | 122300000X | DN17337 | FL |
Addresses
Primary practice location
Clinic1 Quartermaster Rd
Saipan Seventh-Day Adventist Clinic
Saipan, MP 96950
Mailing address
P.O. Box 500169
Saipan Seventh-Day Adventist Clinic
Saipan, MP 96950
Phone (670) 234-6008
Other names 1
- Crystal Ann Edmister
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17337 | FL | MD | Dentist |
| 0094 | MP | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saipan Seventh-Day Adventist Clinic | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Saipan, MP
- NPI 1639317480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1134420359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 500169",
"address_2": "SAIPAN SEVENTH-DAY ADVENTIST CLINIC",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-234-6008",
"fax_number": "670-234-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLINIC1 QUARTERMASTER RD",
"address_2": "SAIPAN SEVENTH-DAY ADVENTIST CLINIC",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-234-6008",
"fax_number": "670-234-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "CRYSTAL",
"middle_name": "ANN EDMISTER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-04",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MP",
"license": "0094",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17337",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "EDMISTER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saipan, MP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.