Roddie Crouch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN08484 Issued in GA

Practice address

2125 Post Oak Tritt Rd
Marietta, GA 30062-1609

Phone

(770) 977-9090

Fax

(770) 578-8289

NPI assigned

Jun 9, 2009

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

Medicare enrollment (NPD)

Not enrolled

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.

• Roddie a Crouch DDS PC

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1083805386
  NPD (past) Authorized official
• Family Dentistry of Marietta, LLC

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1972837318
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1528294238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 POST OAK TRITT RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621609",
            "telephone_number": "770-977-9090",
            "fax_number": "770-578-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 POST OAK TRITT RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621609",
            "telephone_number": "770-977-9090",
            "fax_number": "770-578-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "RODDIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN08484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Noelle Cross, MD
• Kenneth Cross, M. DIV, LMFT
• Kristen Leigh Cross, ATC
• Mark Andrew Crossen, LMSW
• Crossover Outpatient Services LLC
• Caley Crouse
• Vicki Lynn Crouse, AGACNP-BC
• Bruce Patterson Crowley, M.D.
• Crowncare
• Brooke Nicole Croxton, DMD

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.