Active NPI
Ralph A. Crevoisier, DDS MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Windcrest, TX
National Provider Identifier
1720193303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 7663
- Practice address
- 8110 Windway Dr
Windcrest, TX 78239-2433 - Phone
- (210) 653-9227
- NPI assigned
- Aug 21, 2006
- Last updated
- May 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7663 | TX | Primary |
Addresses
Primary practice location
8110 Windway Dr
Windcrest, TX 78239-2433
Mailing address
14107 Country Vale
San Antonio, TX 78216-2354
Phone (210) 464-4678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7663 | Other | TEXAS LICENSE 7663 |
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 |
|---|---|---|---|
| 7663 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralph a. Crevoisier D.D.S.,M.S.D. PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Antonio, TX
- NPI 1972761450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1720193303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14107 COUNTRY VALE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162354",
"telephone_number": "210-464-4678",
"fax_number": "210-495-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8110 WINDWAY DR",
"city": "WINDCREST",
"state": "TX",
"postal_code": "782392433",
"telephone_number": "210-653-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREVOISIER",
"first_name": "RALPH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "7663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE 7663",
"identifier": "7663",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Windcrest, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.