NPIMap

Organization Active NPI

Crossroads Family Dentistry

  • General Practice Dentistry
  • Trafalgar, IN
National Provider Identifier
1629520259
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010956A Issued in IN
Legal business name
CROSSROADS FAMILY DENTISTRY
Practice address
702 W Trafalgar Pointe Way
Trafalgar, IN 46181
Phone
(720) 982-8766
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Pooja KumarNPI 1326253147
Title
Dentist
Phone
(720) 982-8766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12010956A IN Primary

Addresses

Primary practice location

702 W Trafalgar Pointe Way
Trafalgar, IN 46181

Mailing address

702 W Trafalgar Pointe Way
Trafalgar, IN 46181

National Provider Directory

National Provider Directory

Locations

702 W Trafalgar Pointe Way
Trafalgar, IN 46181
Phone (720) 982-8766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1629520259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W TRAFALGAR POINTE WAY",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "46181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W TRAFALGAR POINTE WAY",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "46181",
            "telephone_number": "720-982-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "720-982-8766"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010956A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trafalgar, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.