Cross Creek Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CROSS CREEK DENTAL

Practice address

1199 Old Lorena Rd
Lorena, TX 76655-3176

Phone

(254) 655-4323

NPI assigned

Apr 30, 2019

Last updated

Apr 30, 2019By 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

Dr. Dod David Moore, DDSNPI 1952429367

Title

Owner

Phone

(254) 655-4342

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Dod David Moore, D.D.S.

  • Dentist
  • Waco, TX
  • NPI 1952429367
  NPD (past) Authorized official
• Noe Josue Chaparro

  • General Practice Dentistry
  • Lorena, TX
  • NPI 1275019325
  NPD (past)

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1639733116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 SADDLE CREEK RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767087290",
            "telephone_number": "254-655-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 OLD LORENA RD",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553176",
            "telephone_number": "254-655-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DOD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-655-4342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Bruner Health & Wellness, PLLC
• Tracey Lynn Bruner, FNP
• Noe Josue Chaparro
• Kristin J Craig, CRNA
• McKenna Endsley
• Kacie Evans
• Tiffany Glenn, M.S., R.D., L.D.
• Jesse Clark Griffin III, MS, LPC, NCC
• James Matthew Horn, OTR/L

• Dentist in Lorena, TX
• Providers in Lorena, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.