Gavin L Criser, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6899 Issued in SC

Practice address

220 Cherokee Rd Ste B
Florence, SC 29501-5225

Phone

(843) 662-3336

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 4, 2016 through Mar 4, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Gavin L Criser DDS Ms PA

  • Endodontics
  • Florence, SC
  • NPI 1538074919
  NPD (past) Authorized official

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1508029554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHEROKEE RD STE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015225",
            "telephone_number": "843-662-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHEROKEE RD STE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015225",
            "telephone_number": "843-662-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISER",
        "first_name": "GAVIN",
        "middle_name": "L",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "6899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre T. Creese, M.D.
• Crescent Healthcare LLC
• Gina Marie Crews
• Ronal Cribb II, PT, DPT
• Charles Crickman, PHARMD
• Brian C Crisp, PA
• Jennifer Crocker, PTA
• Doren Crolley, OTR/L
• Olen G. Cross
• Shelby Strode Crosson, ED.S., LPC

• Endodontics in Florence, SC
• Providers in Florence, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.