Kenneth Owen Crosby II, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33447 Issued in CA

Practice address

6079 N Fresno St
Ste 105
Fresno, CA 93710-5276

Phone

(559) 222-7001

Fax

(559) 222-7087

NPI assigned

Apr 7, 2006

Last updated

Jun 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 20, 2017 through Apr 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1245293869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6079 N FRESNO ST",
            "address_2": "STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105276",
            "telephone_number": "559-222-7001",
            "fax_number": "559-222-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 N FRESNO ST",
            "address_2": "STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105276",
            "telephone_number": "559-222-7001",
            "fax_number": "559-222-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "KENNETH",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33447",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "33447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Cromwell, LCSW
• Matthew Crone
• Dominic Crooker
• Robert F Crooks, M.D.
• Laurie Sumpf Crosbie, LCSW
• Alana Belia Cross
• Annie Cross
• Audrey Cross
• Marla Cross
• Michael J Cross, LVN

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.