NPIMap

Organization Active NPI

Ronald K. Criss, D.P.M.,P.C.

  • Podiatric Clinic/Center
  • Waldorf, MD
National Provider Identifier
1417275660
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
00596 Issued in MD
Legal business name
RONALD K. CRISS, D.P.M.,P.C.
Practice address
2255 Crain Hwy
Suite 102
Waldorf, MD 20601-3164
Phone
(301) 645-6600
Fax
(301) 645-6601
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Ronald Keith Criss, D.P.M.
Title
President
Phone
(301) 645-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 00596 MD Primary

Addresses

Primary practice location

2255 Crain Hwy
Suite 102
Waldorf, MD 20601-3164

Mailing address

2255 Crain Hwy
Suite 102
Waldorf, MD 20601-3164
Phone (301) 645-6600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1417275660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 CRAIN HWY",
            "address_2": "SUITE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013164",
            "telephone_number": "301-645-6600",
            "fax_number": "301-645-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CRAIN HWY",
            "address_2": "SUITE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013164",
            "telephone_number": "301-645-6600",
            "fax_number": "301-645-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD K. CRISS, D.P.M.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "CRISS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-645-6600",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MD",
            "license": "00596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.