Bobby Crohn, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

44464 Issued in NY

Practice address

400 State Route 17M Ste 2
Monroe, NY 10950-4430

Phone

(845) 782-0189

Fax

(845) 782-5682

NPI assigned

Nov 1, 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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Monroe Dental Office PC

  • General Practice Dentistry
  • Monroe, NY
  • NPI 1720585391
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760569164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STATE ROUTE 17M STE 2",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504430",
            "telephone_number": "845-782-0189",
            "fax_number": "845-782-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STATE ROUTE 17M STE 2",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504430",
            "telephone_number": "845-782-0189",
            "fax_number": "845-782-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROHN",
        "first_name": "BOBBY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "44464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Connolly
• Sybil Cooper, NBC-HWC
• Vincent Corrado
• Theresa A Costello, PT
• Rachel Haydak Coyle, MS, PT
• Crystal Run Healthcare Physicians LLP
• Crystal Run Healthcare Physicians LLP
• Crystal Run Healthcare Physicians LLP
• Crystal Run Healthcare Physicians LLP
• Llewellyn Cumming, LMSW

• Dentist in Monroe, NY
• Providers in Monroe, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.