Active NPI
Adam Joseph Crouse
- Dental Hygienist
- Killeen, TX
National Provider Identifier
1689439689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 102526
- Practice address
- 107 W Texas Ave
Apt a
Killeen, TX 76541 - Phone
- (915) 422-9341
- NPI assigned
- Feb 19, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 102526 | NV | Primary |
Addresses
Primary practice location
107 W Texas Ave
Apt a
Killeen, TX 76541
Mailing address
107 W Texas Ave Apt a
Killeen, TX 76541-2853
Phone (915) 422-9341
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102526 | NV | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1689439689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W TEXAS AVE APT A",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765412853",
"telephone_number": "915-422-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W TEXAS AVE",
"address_2": "APT A",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76541",
"telephone_number": "915-422-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUSE",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NV",
"license": "102526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.