Criscione Family Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

License

6583 Issued in OR

Legal business name

CRISCIONE FAMILY DENTISTRY, PC

Practice address

3975 Mercantile Dr
#150
Lake Oswego, OR 97035-3595

Phone

(503) 636-7601

Fax

(503) 636-3749

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Debbie E Krekos

Title

Office Manager

Phone

(503) 636-7601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1811164155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973028001",
            "telephone_number": "503-636-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 MERCANTILE DR",
            "address_2": "#150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353595",
            "telephone_number": "503-636-7601",
            "fax_number": "503-636-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISCIONE FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "KREKOS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-636-7601"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "6583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Elizabeth Cox, RN
• Craig T Gillis DO PC
• Alexandra Crain
• Madeline Marie Creagan
• Shayna Crespo, MA
• Michael J Criscione, D.M.D
• Michael G Crocker, R.N.
• Patricia Ann Crosthwait, LMFT, LPC, ATR-BC
• Celene Cruz
• Jonathan Kevin Cruz, DC

• Dentist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.