Cory Lawrence Crouse, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-2704 Issued in HI

Practice address

94-050 Farrington Hwy Ste E1-2
Waipahu, HI 96797-1842

Phone

(808) 677-2451

NPI assigned

Jul 4, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cory L Crouse DMD LLC

  • Dental Clinic/Center
  • Aiea, HI
  • NPI 1912629007
  NPD Authorized official
• Edward K. Higa, DDS, Inc

  • General Practice Dentistry
  • Waipahu, HI
  • NPI 1528293388
  NPD (past)
• Ohana Dental of Waipahu LLC

  • Dental Clinic/Center
  • Waipahu, HI
  • NPI 1154158251
  NPD (past)

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

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891216461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 AUKELE ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343616",
            "telephone_number": "402-203-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-050 FARRINGTON HWY STE E1-2",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971842",
            "telephone_number": "808-677-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7192 Kalanianaole Hwy Ste Q103",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968251850",
            "country_code": "US",
            "telephone_number": "808-396-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "CORY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Coursey, RBT
• Mandy KM Crabbe-Jones
• Rai Syntyche Mendoza Crespo
• Tani Noelle Cromwell, SLP
• Ryan Crooks-Johnson
• Emilani J. Crow, MD
• Jonnet L Cruz, LMFT
• Gordon Charles Cucullu IV
• Catherine Taylor Cummings, OTR/L
• Glenna Lynne Uy Curioso, COTA

• General Practice Dentistry in Waipahu, HI
• Providers in Waipahu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.