Natasha Crisman

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6920 Issued in OR

Practice address

1296 Commercial St SE Ste 101
Salem, OR 97302-4200

Phone

(503) 585-4282

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dental Professionals of Oregon, P.C.

  • General Practice Dentistry
  • Salem, OR
  • NPI 1194499715
  NPD

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1730734823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 BROADWAY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 COMMERCIAL ST SE STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024200",
            "telephone_number": "503-585-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMAN",
        "first_name": "NATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creekside Family Dental PC
• Evan Crew, OT
• Steven Clarence Crider, RPH
• Crisdental East Salem, LLC
• Crisdental Salem L.L.C.
• Christopher James Cristobal, CRM
• Shawn R Criswell, LPC
• Ronald M. Crockett, D.C.
• William R. Croco, RPH.
• Croisan Ridge Surgery Center, LLC

• Dental Hygienist in Salem, OR
• Providers in Salem, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.