Active NPI
Caleb James Cross, D.M.D.
- Dentist
- Philadelphia, PA
National Provider Identifier
1457623019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS038825
- Practice address
- 240 S 40TH St
Philadelphia, PA 19104-6030 - Phone
- (215) 898-8965
- NPI assigned
- Jan 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS038825 | PA | Primary |
Addresses
Primary practice location
240 S 40TH St
Philadelphia, PA 19104-6030
Mailing address
201 Avon Rd
Narberth, PA 19072-2307
Phone (484) 270-8882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS038825 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327795200000",
"number": "1457623019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 AVON RD",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722307",
"telephone_number": "484-270-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S 40TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191046030",
"telephone_number": "215-898-8965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "CALEB",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-29",
"last_updated": "2012-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS038825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.