NPIMap

Organization Active NPI

Crossway Family Dental PA

  • General Practice Dentistry
  • South Paris, ME
National Provider Identifier
1700098241
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROSSWAY FAMILY DENTAL PA
Practice address
10 Market Square
Suite #3
South Paris, ME 04281
Phone
(207) 743-8701
Fax
(207) 743-2787
NPI assigned
May 4, 2007
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Dr. Aaron Im, DMDNPI 1376715276
Title
Owner Dentist
Phone
(207) 743-8701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

10 Market Square
Suite #3
South Paris, ME 04281

Mailing address

10 Market Square
Suite #3
South Paris, ME 04281
Phone (207) 743-8701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210608001355 ME DME Supplier - Oral Surgery - Dentist 4688074974 Practice locations: South Paris, ME

National Provider Directory

National Provider Directory
Tax ID family
Crossway Family Dental PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1700098241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARKET SQUARE",
            "address_2": "SUITE #3",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "04281",
            "telephone_number": "207-743-8701",
            "fax_number": "207-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARKET SQUARE",
            "address_2": "SUITE #3",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "04281",
            "telephone_number": "207-743-8701",
            "fax_number": "207-743-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWAY FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "207-743-8701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Paris, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.