Active NPI
Hunter James Crockett, DMD
- Dentist
- Keene, NH
National Provider Identifier
1861182602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 05149
- Practice address
- 19 Elm St # 2
Keene, NH 03431-3475 - Phone
- (603) 352-0321
- NPI assigned
- May 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN5040 | ME | |
| Dentist | 122300000X | 05149 | NH | Primary |
Addresses
Primary practice location
19 Elm St # 2
Keene, NH 03431-3475
Mailing address
52 Brunswick Ave
Fort Fairfield, ME 04742-1110
Phone (508) 579-7513
Other practice location 1
1 North St
Presque Isle, ME 04769-2240
Phone (207) 760-7216
Other practice location 2
206 Main St
Fort Fairfield, ME 04742-1121
Phone (207) 473-7723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN5040 | ME | MD | Dentist |
| 05149 | NH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Smiles Family Dentistry | Past | Accepting new patients | |
| White Smiles Family Dentistry | Past | Accepting new patients | |
| White Smiles Family Dentistry | Dentist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Fort Kent, ME
- NPI 1154899201
-
- General Practice Dentistry
- Presque Isle, ME
- NPI 1245628916
-
- Dentist
- Fort Fairfield, ME
- NPI 1346679503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1861182602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 BRUNSWICK AVE",
"city": "FORT FAIRFIELD",
"state": "ME",
"postal_code": "047421110",
"telephone_number": "508-579-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 ELM ST # 2",
"city": "KEENE",
"state": "NH",
"postal_code": "034313475",
"telephone_number": "603-352-0321"
}
],
"practiceLocations": [
{
"address_1": "1 North St",
"address_purpose": "LOCATION",
"city": "Presque Isle",
"state": "ME",
"postal_code": "047692240",
"country_code": "US",
"telephone_number": "207-760-7216",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 Main St",
"address_purpose": "LOCATION",
"city": "Fort Fairfield",
"state": "ME",
"postal_code": "047421121",
"country_code": "US",
"telephone_number": "207-473-7723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROCKETT",
"first_name": "HUNTER",
"middle_name": "JAMES",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-12",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN5040",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "05149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.