NPIMap

Organization Active NPI

Crossroads Dental Group, LLP

Doing business as Crossroads Dental Group

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1609961309
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROSSROADS DENTAL GROUP, LLP
Doing business as
Crossroads Dental Group
Practice address
2880 E Germann Rd
Ste. 13
Chandler, AZ 85286-1410
Phone
(480) 821-5444
Fax
(480) 821-5111
NPI assigned
Oct 4, 2006
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Tyler Clayton, DMD
Title
Owner DMD
Phone
(480) 821-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2880 E Germann Rd
Ste. 13
Chandler, AZ 85286-1410

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Crossroads Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2880 E Germann Rd
Ste 13
Chandler, AZ 85286
Phone (480) 821-5444

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1609961309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 E GERMANN RD",
            "address_2": "STE. 13",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861410",
            "telephone_number": "480-821-5444",
            "fax_number": "480-821-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER DMD",
        "authorized_official_telephone_number": "480-821-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.