John Everett Crosland, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

NC4891 Issued in NC

Practice address

901 N Lafayette St
Suite a
Shelby, NC 28150-3832

Phone

(704) 484-0148

Fax

(704) 484-0148

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John E. Crosland DDS

  • Periodontics
  • Shelby, NC
  • NPI 1770794612
  NPD (past) Authorized official

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245313600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N LAFAYETTE ST",
            "address_2": "SUITE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503832",
            "telephone_number": "704-484-0148",
            "fax_number": "704-484-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N LAFAYETTE ST",
            "address_2": "SUITE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503832",
            "telephone_number": "704-484-0148",
            "fax_number": "704-484-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSLAND",
        "first_name": "JOHN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "NC4891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "91901",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Gould Crenshaw, MD
• Regina Hamilton Crocheron
• Emily Crocker-Underwood, L.C.S.W.
• Amy C. Croft, FNP
• Gaylain Monya Crosby, LPA
• Crossroads Treatment Center of Cleveland County, PC
• Gracie Pitchford Crowder, FNP
• CRT Home LLC
• Matthew Anthony Culicerto, DC
• Amber Dawn Curles, PTA

• Periodontics in Shelby, NC
• Providers in Shelby, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.