Jennifer Cross, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

30809 Issued in TX

Practice address

3515 Sycamore School Rd Ste 125
Fort Worth, TX 76133-7827

Phone

(817) 240-2543

NPI assigned

Jun 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Texas Dental Anesthesia

  • Dental Anesthesiology
  • The Colony, TX
  • NPI 1891271557
  NPD Authorized official

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

{
    "created_epoch": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902168602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SYCAMORE SCHOOL RD STE 125-PMB 357",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337827",
            "telephone_number": "817-240-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 SYCAMORE SCHOOL RD STE 125",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337827",
            "telephone_number": "817-240-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "TX",
            "license": "30809",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348644101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3486441-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cross Soriano Optometry Partnership
• Cross Timbers Physical Therapy Center
• Abigayle Ryan Cross, PA-C
• Christian Cross, OD
• Emma Engels Cross, BCBA
• Molly Cross, PT, DPT
• Larry David Crossland
• Hallie Renae Crossnoe, RN
• Crossover Health Medical Group
• Crossover Health Medical Group

• Dental Anesthesiology in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dental Anesthesiology in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.