Organization Active NPI

Bradley R Crossfield DDS PLLC

Doing business as Tooth Squad Pediatric Dentistry

  • Dental Clinic/Center
  • Centerton, AR
National Provider Identifier
1134733876
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRADLEY R CROSSFIELD DDS PLLC
Doing business as
Tooth Squad Pediatric Dentistry
Practice address
880 East Centerton Blvd
Suite a
Centerton, AR 72719
Phone
(501) 951-0031
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Dr. Bradley Ray Crossfield, DDSNPI 1326487737
Title
Owner, Manager
Phone
(501) 951-0031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

880 East Centerton Blvd
Suite a
Centerton, AR 72719

Mailing address

PO Box 677
Centerton, AR 72719-0677
Phone (501) 951-0031

Other names 1

  • Tooth Squad Pediatric Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bcrossf@toothsquadpd.com Direct

National Provider Directory

National Provider Directory

Locations

880 E Centerton Blvd
Ste A
Centerton, AR 72719
Phone (501) 951-0031

7801 Phoenix Ave
Fort Smith, AR 72903
Phone (479) 306-6156

Interoperability endpoints

  • Direct secure messaging: bcrossf@toothsquadpd.com

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": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1134733876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727190677",
            "telephone_number": "501-951-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 EAST CENTERTON BLVD",
            "address_2": "SUITE A",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "72719",
            "telephone_number": "501-951-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY R CROSSFIELD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "CROSSFIELD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "501-951-0031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bcrossf@toothsquadpd.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "880 East Centerton Blvd",
            "address_2": "Suite A",
            "city": "Centerton",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tooth Squad Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.