NPIMap

Organization Active NPI

Crossland Dental Associates, Inc.

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1740312503
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2703 Issued in SC
Legal business name
CROSSLAND DENTAL ASSOCIATES, INC.
Practice address
929 Bowman Rd
Suite 100
Mount Pleasant, SC 29464-3237
Phone
(843) 971-0661
Fax
(843) 971-5219
NPI assigned
Mar 9, 2007
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Dr. Steve Crossland, DMDNPI 1043280308
Title
Dentist
Phone
(843) 971-0661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2703 SC Primary

Addresses

Primary practice location

929 Bowman Rd
Suite 100
Mount Pleasant, SC 29464-3237

Mailing address

929 Bowman Rd
Suite 100
Mount Pleasant, SC 29464-3237
Phone (843) 971-0661

Other identifiers 1

IdentifierTypeStateIssuer
ZA9472MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1740312503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-971-0661",
            "fax_number": "843-971-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-971-0661",
            "fax_number": "843-971-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLAND DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "CROSSLAND",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-971-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9472",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.