Individual provider Active NPI

Sheri R Fago Cros, D.M.D

  • Dentist
  • Rancho Mirage, CA
National Provider Identifier
1669668190
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58148 Issued in CA
Practice address
71843 Highway 111
Suite a
Rancho Mirage, CA 92270-4418
Phone
(760) 444-3202
Fax
(760) 444-3229
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58148 CA Primary

Addresses

Primary practice location

71843 Highway 111
Suite a
Rancho Mirage, CA 92270-4418

Mailing address

71843 Highway 111
Suite a
Rancho Mirage, CA 92270-4418
Phone (760) 444-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sheri and Raymond Cros Dental Corporation Current Accepting new patients

Locations

71843 Highway 111
Ste A
Rancho Mirage, CA 92270
Phone (760) 444-3202

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1669668190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71843 HIGHWAY 111",
            "address_2": "SUITE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704418",
            "telephone_number": "760-444-3202",
            "fax_number": "760-444-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71843 HIGHWAY 111",
            "address_2": "SUITE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704418",
            "telephone_number": "760-444-3202",
            "fax_number": "760-444-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGO CROS",
        "first_name": "SHERI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.