Crossroads Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CROSSROADS DENTISTRY

Practice address

29992 Hunter Rd
Ste 110
Murrieta, CA 92563

Phone

(951) 461-6900

Fax

(951) 461-6996

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By 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

Matthew Michael Nelson, DDSNPI 1164537155

Title

Partner DDS

Phone

(951) 461-6900

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Michael Nelson, DDS

  • Dentist
  • Murrieta, CA
  • NPI 1164537155
  NPD (past) Authorized official
• Michael Allen Nelson, DDS

  • Dentist
  • Murrieta, CA
  • NPI 1225143217
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346331634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29992 HUNTER RD",
            "address_2": "STE 110",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-461-6900",
            "fax_number": "951-461-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29992 HUNTER RD",
            "address_2": "STE 110",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-461-6900",
            "fax_number": "951-461-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER DDS",
        "authorized_official_telephone_number": "951-461-6900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monisha S Crisell, MD
• William Crispin
• Ashlee Nikol Crispo, MS, LPCC
• Michael Cross, M.D.
• Tiffany Elaine Cross
• Phillip Croulet
• Crown Medical Group
• Crown Medical Group Inc (Riverside County Crown Medical Assocites Inc)
• Crown Surgery Medical Group Inc (Crown Surgery Medical Group)
• Ashley Marie Crutchley

• General Practice Dentistry in Murrieta, CA
• Providers in Murrieta, 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 Aug 22, 2020; 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.