Organization Active NPI

Crossings Clinic LLC

  • Dentist
  • New Albany, IN
National Provider Identifier
1871971887
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CROSSINGS CLINIC LLC
Practice address
5140 Charlestown Rd
New Albany, IN 47150-9475
Phone
(812) 941-9000
NPI assigned
May 11, 2015
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Michael Rowe
Title
General Manager
Phone
(812) 941-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IN Primary

Addresses

Primary practice location

5140 Charlestown Rd
New Albany, IN 47150-9475

Mailing address

5104 Charlestown Rd
New Albany, IN 47150-9429
Phone (812) 941-9000

Other practice location 1

5520 E Highway 62
Jeffersonville, IN 47130
Phone (812) 941-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170816004143 IN Part B Supplier - Clinic/Group Practice 2466760160 Receives reassigned benefits from 3 practitioners
Practice locations: Jeffersonville, IN

National Provider Directory

National Provider Directory

Locations

5140 Charlestown Rd
New Albany, IN 47150
Phone (812) 941-9000

5140 Charlestown Rd
Ste 1
New Albany, IN 47150
Phone (812) 941-9000

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1871971887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509429",
            "telephone_number": "812-941-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 CHARLESTOWN RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509475",
            "telephone_number": "812-941-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 E Highway 62",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "47130",
            "country_code": "US",
            "telephone_number": "812-941-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSINGS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "812-941-9000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.