Organization Active NPI

Cypress Crossroads Dental Group, PC

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1811394653
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CYPRESS CROSSROADS DENTAL GROUP, PC
Practice address
14041 Grant Road
Suite 110
Cypress, TX 77429
Phone
(281) 876-0131
Fax
(281) 876-0141
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Dr. John S Barnes, DDS
Title
Owner
Phone
(281) 876-0131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14041 Grant Road
Suite 110
Cypress, TX 77429

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Cypress Crossroads Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

14041 Grant Rd
Ste 110
Cypress, TX 77429
Phone (281) 876-0131

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1811394653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 GRANT ROAD",
            "address_2": "SUITE 110",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-876-0131",
            "fax_number": "281-876-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CROSSROADS DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-876-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Crossroads Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.