Benjamin Crusan, D.D.S., P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE7985 Issued in WA

Practice address

5284 Pioneer St Ste 120
Ridgefield, WA 98642-3371

Phone

(360) 887-1177

Fax

(360) 887-1178

NPI assigned

Apr 11, 2007

Last updated

Jan 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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.

• Mountain View Dental

  • General Practice Dentistry
  • Ridgefield, WA
  • NPI 1407320013
  NPD (past) Authorized official
• Mountain View Dental

  • General Practice Dentistry
  • Ridgefield, WA
  • NPI 1649713496
  Authorized official Same address or phone

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1710101076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 PIONEER ST STE 120",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986423371",
            "telephone_number": "360-887-1177",
            "fax_number": "360-887-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5284 PIONEER ST STE 120",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986423371",
            "telephone_number": "360-887-1177",
            "fax_number": "360-887-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSAN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.L.L.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE7985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DE7985",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Pharmacy #1703)
• Costco Wholesale Corporation (Costco Optical #1703)
• Costco Wholesale Corporation (Costco Hearing Aid #1703)
• Kendall N Covert Jr., D.C.
• Crown Point Dentures
• Danira M Cuen Sanchez, CO61177127
• Amber Cuffe, CERTIFIED COUNSELOR
• Samantha Christine Cunningham, LMHC, LPC
• Cynthia D Lehnertz DMD PLLC
• Cynthia Darr, SUDPT

• General Practice Dentistry in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.