Individual provider Active NPI

Jeffrey Cronley, DDS

  • Dentist
  • Waynesville, OH
National Provider Identifier
1730576810
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30024433 Issued in OH
Practice address
1020 Franklin Rd
Waynesville, OH 45068-8005
Phone
(513) 897-2001
NPI assigned
Apr 16, 2015
Last updated
Jul 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30024433 OH Primary

Addresses

Primary practice location

1020 Franklin Rd
Waynesville, OH 45068-8005

Mailing address

1020 Franklin Rd
Waynesville, OH 45068-8005
Phone (513) 897-2001

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20150715001788 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7911210216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30024433OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1730576810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FRANKLIN RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450688005",
            "telephone_number": "513-897-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FRANKLIN RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450688005",
            "telephone_number": "513-897-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONLEY",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30024433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, OH

Sources for this page

Verify at the official NPI Registry.