Active NPI
Stephen Marc-Anthony Cross, DDS
- Prosthodontics
- Clinton, MD
National Provider Identifier
1700317542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 17008
- Practice address
- 8913 Woodyard Rd Unit B
Clinton, MD 20735-4257 - Phone
- (202) 372-5573
- NPI assigned
- Mar 23, 2017
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 17008 | MD | Primary |
Addresses
Primary practice location
8913 Woodyard Rd Unit B
Clinton, MD 20735-4257
Mailing address
3012 Bretons Ridge Way
Hanover, MD 21076-2900
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 |
|---|---|---|---|
| 17008 | MD | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossthodontics LLC | Prosthodontics | Current | Accepting new patients |
| Clinton Crawford DDS LLC | Past | Accepting new patients |
Locations
6230 Old Dobbin Ln
Ste 240
Columbia, MD 21045
Phone (667) 421-8300
Organizations & group practices 2
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": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1700317542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 BRETONS RIDGE WAY",
"city": "HANOVER",
"state": "MD",
"postal_code": "210762900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8913 WOODYARD RD UNIT B",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354257",
"telephone_number": "202-372-5573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "STEPHEN",
"middle_name": "MARC-ANTHONY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2022-06-06",
"certification_date": "2022-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MD",
"license": "17008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Sharon L Cummings, CAMS-I
- Tamara Cunningham-Myers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.