Crossroads Dental of Victoria PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CROSSROADS DENTAL OF VICTORIA PLLC

Doing business as

Crossroads Dental of Victoria

Practice address

104 Broadmoor St.
Suite #400
Victoria, TX 77904

Phone

(361) 262-0091

Fax

(361) 333-1564

NPI assigned

Dec 9, 2022

Last updated

Dec 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Credentialing Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Dental of Victoria Doing business as

Locations

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1295446292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "361-262-0091",
            "fax_number": "361-333-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BROADMOOR ST.",
            "address_2": "SUITE #400",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-262-0091",
            "fax_number": "361-333-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS DENTAL OF VICTORIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Dental of Victoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig G. Chang, M.D., P.a.
• Laura L. Crandall, P.T.
• Crescent View Medical Clinics PA
• Cody Lawrence Crisman, AGACNP-BC
• Crossroads Counseling Center, PLLC
• Crossroads Health Center, PLLC
• Crossroads Home Health, Inc. (Crossroads Home Health)
• Crossroads Home Health,Inc (Crossroads Home Health)
• Crossroads Hospitalist Associates, PLLC
• Crossroads Integral Anesthesiology, PLLC

• General Practice Dentistry in Victoria, TX
• Providers in Victoria, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.