Olivia Hunter Croom, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901015165 Issued in MI

Practice address

1520 Broadway St
Toledo, OH 43609-2855

Phone

(419) 255-9000

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Detroit Central City Community Mental Health Inc.

  dba Central City Health

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1285043406
  Medicare reassignment NPD
• Detroit Central City Community Mental Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1598502817
  NPD
• Detroit Central City Community Mental Health, Inc.

  dba Central City Integrated Health

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1730535808
  NPD
• Small Smiles of Toledo, LLC

  • General Practice Dentistry
  • Toledo, OH
  • NPI 1871542019
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1407927304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436092855",
            "telephone_number": "419-255-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER CROOM",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4657336",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian K Hunt, QMHS
• Bridgette Hunt
• Colleen Hunt, LPN
• Linda Hunt
• Zayna Hunt
• Latrice M. Hunter Miles
• Anthony Hunter, MT-BC
• Ashley L Hunter
• Ashton Hunter
• David W Hunter, MD

• Dentist in Toledo, OH
• Providers in Toledo, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.