Crossroads Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CROSSROADS FAMILY DENTAL

Practice address

1314 Eagle Ridge Dr
Schererville, IN 46375-1360

Phone

(219) 865-4095

Fax

(219) 865-4097

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Cynthia A Garza, ADMINISTRATOR

Title

Administrator

Phone

(219) 865-4095

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Jeffrey Berns, D.M.D.

  • Dentist
  • Schererville, IN
  • NPI 1417268830
  NPD
• Katherine M Zuccarelli, D.D.S.

  • Dentist
  • Schererville, IN
  • NPI 1629320569
  NPD (past)

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1336855840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 EAGLE RIDGE DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751360",
            "telephone_number": "219-865-4095",
            "fax_number": "219-865-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 EAGLE RIDGE DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751360",
            "telephone_number": "219-865-4095",
            "fax_number": "219-865-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-865-4095",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Continuing Rehab Services, LLC
• Danielle Copak
• Patrick S Cosgrove, D.O.
• Amy B Coy, MPT
• Samantha Crnokrak
• Crowder Family Chiropractic LLC
• James Crowder Jr., D.C.
• Kenna R Crowel, MS, CF-SLP
• Crown Radiology Associates
• Crown Radiology Associates

• All providers in Schererville, IN
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.