Individual provider Active NPI

Robert Lister Crosby, D.M.D.

  • General Practice Dentistry
  • Greenville, AL
National Provider Identifier
1154423903
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3752 Issued in AL
Practice address
100 N Pine St
Greenville, AL 36037-2222
Phone
(334) 382-7877
NPI assigned
Sep 2, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3752 AL Primary

Addresses

Primary practice location

100 N Pine St
Greenville, AL 36037-2222

Mailing address

PO Box 809
Greenville, AL 36037-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160217000354 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9032414800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3752ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Crosby, DMD, PC CurrentSince Nov 24, 2024 Accepting new patients

Locations

100 N Pine St
Greenville, AL 36037
Phone (334) 382-7877

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154423903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360370809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PINE ST",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360372222",
            "telephone_number": "334-382-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "ROBERT",
        "middle_name": "LISTER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, AL

Sources for this page

Verify at the official NPI Registry.