Mary Cecilia Crosby, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN0011236 Issued in FL

Practice address

5607 NW 27TH Ave Ste 2
Miami, FL 33142-2826

Phone

(305) 376-6400

Fax

(305) 636-5155

NPI assigned

Jun 20, 2006

Last updated

May 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. M Cecilia Crosby-El-Amin Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jessie Trice Community Health System, Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1689605362
  Medicare reassignment NPD
• Jessie Trice Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1609247329
  NPD
• Jessie Trice Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Miami Gardens, FL
  • NPI 1639518798
  NPD
• Jessie Trice Community Health System, Inc

  dba Main Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1043892979
  NPD
• Jessie Trice Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1467614099
  NPD (past)
• Phanord & Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
  • NPI 1255362877
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1194761213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SW 92 AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-424-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-376-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 NW 119th Street",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "33167",
            "country_code": "US",
            "telephone_number": "305-685-7863",
            "fax_number": "305-687-7603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "MARY",
        "middle_name": "CECILIA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0011236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113244600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "CROSBY-EL-AMIN",
            "middle_name": "CECILIA",
            "prefix": "DR.",
            "credential": "DDS PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Kemp Crockett, M.D.
• Ashton Michael Cromity
• Valerie Croney, APRN
• Catherine Crook
• Carolyn Cros, APRN
• Cross Gardens Care Center
• Kamilah Cross
• Martha Melo Cross, R.N.
• Mary Ann Cross, M.D.
• Mildred D Cross, BA

• Oral and Maxillofacial Surgery (Dentist) in Miami, FL
• Providers in Miami, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.