Crosscreek Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CROSSCREEK DENTAL, LLC

Doing business as

North Bridge Dental

Practice address

1300 Old Highway 135 NE
Corydon, IN 47112-2022

Phone

(812) 738-8081

Fax

(812) 738-3213

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By 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

Jenna Windell, DMDNPI 1518526110

Title

Dentist

Phone

(812) 738-8081

Specialties & licenses 1

Addresses

Other names 1

• North Bridge Dental Doing business as

Electronic endpoints 1

Locations

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.

• Jenna M Windell, DMD

  • Dentist
  • Corydon, IN
  • NPI 1518526110
  NPD Authorized official
• Jamie Langley Mull, DMD

  • General Practice Dentistry
  • Corydon, IN
  • NPI 1679635155
  NPD (past)

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1457022428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OLD HIGHWAY 135 NE",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122022",
            "telephone_number": "812-738-8081",
            "fax_number": "812-738-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OLD HIGHWAY 135 NE",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122022",
            "telephone_number": "812-738-8081",
            "fax_number": "812-738-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSCREEK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "WINDELL",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "812-738-8081",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbd1300@outlook.com",
            "affiliation": "Y",
            "endpointDescription": "Office email",
            "affiliationName": "JLD Dental",
            "address_1": "1300 Old Highway 135 NE",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471122022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Bridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corydon Hearing Clinic LLC
• Corydon Optical Inc
• Corydon Pain Management Clinic Inc
• Corydon Recovery LLC (Hickory Treatment Center at Corydon)
• Counsel House LLC
• Graydon B Cummins, M.D.
• Curana Health of Indiana LLC
• Brianne Nicole Damron
• Beaujon Davidson, MD
• Daviess County Hospital (Corydon Nursing and Rehabilitation)

• General Practice Dentistry in Corydon, IN
• Providers in Corydon, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.