David Roland Crouch Sr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D28917 Issued in CA

Practice address

1500 East Katella Ave
Suite B
Orange, CA 92867-5039

Phone

(714) 532-2884

Fax

(714) 532-3629

NPI assigned

Nov 4, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• David R. Crouch, DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Orange, CA
  • NPI 1437608080
  NPD (past) Authorized official

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679652051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EAST KATELLA AVE",
            "address_2": "SUITE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675039",
            "telephone_number": "714-532-2884",
            "fax_number": "714-532-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST KATELLA AVE",
            "address_2": "SUITE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675039",
            "telephone_number": "714-532-2884",
            "fax_number": "714-532-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "DAVID",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D28917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Fabian Crooks
• John Sanford Cross III, M.D.
• Marrisa Jean Marie Cross
• Maureen Cross, PT, CLT
• Damari Croswell, MD
• Brielle Rae Crovetti, MD
• Carly Crowder, M.D.
• Jessica Crowder
• Michael K Crowder
• Donna Jean Crowell, LCSW

• General Practice Dentistry in Orange, CA
• Providers in Orange, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.