Jennifer Criss, DDS,PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21417 Issued in TX

Legal business name

JENNIFER CRISS, DDS,PA

Practice address

1602 E Starr Ave
Suite 203
Nacogdoches, TX 75961-4312

Phone

(936) 559-7200

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jennfier Criss, DDS

Title

President

Phone

(936) 559-7200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nacogdoches Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• Jennifer Criss, DDS

  • Pediatric Dentistry
  • Nacogdoches, TX
  • NPI 1609865914
  NPD (past)

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1407234248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 E STARR AVE",
            "address_2": "SUITE 203",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614312",
            "telephone_number": "936-559-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E STARR AVE",
            "address_2": "SUITE 203",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614312",
            "telephone_number": "936-559-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CRISS, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "CRISS",
        "authorized_official_first_name": "JENNFIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-559-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21417",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16283102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nacogdoches Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason'S DME
• Tori Alayne Jeans
• Jeff D Miller LLC
• Maria Jenkins
• Jennifer Beth Mazer, M.D., P.a.
• Jeremy Smith MD PA
• Adrian Craig Jessie, MD
• Billy Jobe
• John P Gray MD PA
• Cassandra Johnson White, LMT

• Pediatric Dentistry in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.