Individual provider Active NPI

Robert George Crosswait, D.D.S.

  • Dentist
  • Spearfish, SD
National Provider Identifier
1568657690
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M-622 Issued in SD
Practice address
1310 North Ave
Spearfish, SD 57783-1525
Phone
(605) 642-7760
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M-622 SD Primary

Addresses

Primary practice location

1310 North Ave
Spearfish, SD 57783-1525

Mailing address

1310 North Ave
Spearfish, SD 57783-1525
Phone (605) 642-7760

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-622SDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Crosswait Dental Practice PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1568657690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831525",
            "telephone_number": "605-642-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831525",
            "telephone_number": "605-642-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSWAIT",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M-622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.