Active NPI
Julie A Cromer, DDS
- Dentist
- Port St Lucie, FL
National Provider Identifier
1497946982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN16148
- Practice address
- 1343 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5366 - Phone
- (772) 337-1111
- Fax
- (772) 337-6352
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | DN16148 | FL | Primary |
Addresses
Primary practice location
1343 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5366
Mailing address
1343 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5366
Phone (772) 337-1111
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 |
|---|---|---|---|
| DN16148 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulevard Dental Associates | Dentist | Past | Accepting new patients |
| Boulevard Center for Advanced Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Port St Lucie, FL
- NPI 1275906232
-
- Dentist
- Port Saint Lucie, FL
- NPI 1508116781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1497946982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525366",
"telephone_number": "772-337-1111",
"fax_number": "772-337-6352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525366",
"telephone_number": "772-337-1111",
"fax_number": "772-337-6352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROMER",
"first_name": "JULIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN16148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
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- Cristian J Presutti M.D. , P.L.
- Kristen Michele Crocker
- Edward Francis Crooks, RDMS, RDCS, RVT
- Cross-Check Healthcare Consultant
- Kenneshia Cross
- Crossing Paths Christian Coaching and Counseling LLC
- Crossroads Addiction Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.