Jody Duane Cremer

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18715 Issued in TX

Practice address

6505 Precinct Line Rd
North Richland Hills, TX 76182-4313

Phone

(817) 427-1700

Fax

(817) 427-1703

NPI assigned

Jun 22, 2005

Reactivated

Mar 21, 2006

Sex

Male

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

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1760488944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 PRECINCT LINE RD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824313",
            "telephone_number": "817-427-1700",
            "fax_number": "817-427-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 PRECINCT LINE RD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824313",
            "telephone_number": "817-427-1700",
            "fax_number": "817-427-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREMER",
        "first_name": "JODY",
        "middle_name": "DUANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-05-18",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ryan Cox, LPC
• Mike B Cox, D.C.
• Sescelli Breean Cox, M.ED., LPC-A
• Stephen Coxsey, MA, LPC
• Kayla Crawford, BCBA
• Kaylee Elizabeth Criswell, LPC
• Cross Hyperbaric of Texas P L L C
• Lauren Corinne Crowley Taylor, LPC, LMFT ASSOCIATE
• CRT Enterprises, Inc
• CSH North Richland Hills LP

• Pediatric Dentistry in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.