Crystal River Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CRYSTAL RIVER FAMILY DENTISTRY

Practice address

6824 W Gulf to Lake Hwy
Crystal River, FL 34429-7806

Phone

(440) 823-6790

NPI assigned

Jul 24, 2022

Organization subpart

No

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

Authorized official

Name

Opal Anderson

Title

Coo

Phone

(352) 794-6139

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Julie Ann Moore, DMD

  • Dentist
  • Springhill, FL
  • NPI 1235392929
  NPD

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1356076244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297806",
            "telephone_number": "352-794-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297806",
            "telephone_number": "440-823-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL RIVER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "352-794-6139"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "opal@dag.dental",
            "affiliation": "N",
            "address_1": "6824 W Gulf To Lake Hwy",
            "city": "Crystal River",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344297806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Palace Senior Living LLC
• Crystal River Anesthesia Associates, LLC
• Crystal River Behavioral Health LLC
• Crystal River Endoscopy ASC LP
• Crystal River Eye Center,LLC
• Crystal River Hma Physician Management LLC
• Crystal River Hma Physician Management LLC
• Crystal River Womens Health Center PA
• Jerry Wayne Cummings, R.PH.
• Cristina Nicole Cunningham, COTA

• Dental Clinic/Center in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.