H. Alexander Crisp DMD 4, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

H. ALEXANDER CRISP DMD 4, PLLC

Practice address

4201 Lake Boone TRL Ste 2
Raleigh, NC 27607-7511

Phone

(919) 787-3949

NPI assigned

Jul 29, 2025

Last updated

Jul 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanesa Pedroza

Title

Clinical Director

Phone

(919) 787-3949

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hannibal Alexander Crisp, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1841673613
  NPD
• Kevin She-Wai Chan, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1174144349
  NPD (past)
• Roy E Gaines Jr., D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1679675292
  NPD (past)

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1609759539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL STE 2",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077511",
            "telephone_number": "919-787-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL STE 2",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077511",
            "telephone_number": "919-787-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. ALEXANDER CRISP DMD 4, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "PEDROZA",
        "authorized_official_first_name": "VANESA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-787-3949"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Gwinn, MD
• Chelsey Gwyn
• Gynecology & Laparoscopic Surgeons, PC
• Gynecology and Laparoscopic Surgeons, PC
• H & H Shoe Repair & Pedorthic Facility
• H.E. Douglas, Jr., DDS, PA
• H.O.P.E
• H.O.P.E. Foundations, LLC
• H.O.P.E. Foundations, LLC
• H.O.P.E. Foundations, LLC

• Oral and Maxillofacial Surgery (Dentist) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.