Active NPI
Mary Kathryn Crigler, DDS
- Dentist
- West Monroe, LA
National Provider Identifier
1649566860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6195
- Practice address
- 106 Professional Dr
West Monroe, LA 71291-5332 - Phone
- (318) 350-6873
- Fax
- (318) 350-6874
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6195 | LA | Primary |
Addresses
Primary practice location
106 Professional Dr
West Monroe, LA 71291-5332
Mailing address
129 Commerce St
West Monroe, LA 71291-3107
Phone (318) 350-6873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160907002596 | LA | Order and Referring Only - Dentist | 0941596514 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6195 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1649566860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 COMMERCE ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712913107",
"telephone_number": "318-350-6873",
"fax_number": "318-350-6874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PROFESSIONAL DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915332",
"telephone_number": "318-350-6873",
"fax_number": "318-350-6874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIGLER",
"first_name": "MARY",
"middle_name": "KATHRYN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.