Organization Active NPI

John E. Crosland DDS

  • Periodontics
  • Shelby, NC
National Provider Identifier
1770794612
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
NC4891 Issued in NC
Legal business name
JOHN E. CROSLAND DDS
Practice address
901 N Lafayette St
Suite a
Shelby, NC 28150-3832
Phone
(704) 484-0148
Fax
(704) 484-0148
NPI assigned
May 24, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. John Everett Crosland, DDSNPI 1245313600
Title
Proprietor
Phone
(704) 484-0148

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
Periodontics 1223P0300X NC4891 NC Primary

Addresses

Primary practice location

901 N Lafayette St
Suite a
Shelby, NC 28150-3832

Mailing address

901-A North Lafayette St.
Shelby, NC 28150
Phone (704) 484-0148

Other identifiers 2

IdentifierTypeStateIssuer
1245313600OtherINDIVIDUAL NPI ENUMERATOR
91901OtherNCBCBS

National Provider Directory

National Provider Directory

Locations

901 N Lafayette St
#A
Shelby, NC 28150

901 N Lafayette St
Ste A
Shelby, NC 28150
Phone (704) 484-0148

Practitioners & affiliated clinicians

Practitioners 1

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1770794612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901-A NORTH LAFAYETTE ST.",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-484-0148",
            "fax_number": "704-484-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N LAFAYETTE ST",
            "address_2": "SUITE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503832",
            "telephone_number": "704-484-0148",
            "fax_number": "704-484-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. CROSLAND DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CROSLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "704-484-0148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "NC4891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI ENUMERATOR",
            "identifier": "1245313600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91901",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.