Mark Edward Chrusz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16048 Issued in MA

Practice address

2240 Iyannough Rd
West Barnstable, MA 02668-1532

Phone

(508) 362-2131

NPI assigned

Jan 6, 2012

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455321600000",
    "number": "1619247772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025410952",
            "telephone_number": "603-817-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 IYANNOUGH RD",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681532",
            "telephone_number": "508-362-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRUSZ",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2016-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN16048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margery Kistin Anzalone
• Theresa Eacmen Bell, R.N.,M.A.,C.A.G.S.
• Cape Cod Psychological Testing, Inc.
• Cape Cod Young Men'S Christian Association, Inc.
• Cape Regenerative Medicine PLLC
• Roberta C Churchill, LMHC
• Timothy Clark, LICSW
• Geoffrey Neil Cohen, PH.D
• Lori J Coppinger
• Diamondsedge Farm Foundation

• General Practice Dentistry in West Barnstable, MA
• Providers in West Barnstable, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; 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.