Active NPI
Joseph J Crippes, DDS
- Dentist
- Cedar Rapids, IA
National Provider Identifier
1902956014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7311
- Practice address
- 4048 Glass Road NE
Cedar Rapids, IA 52402 - Phone
- (319) 832-2000
- Fax
- (319) 832-1354
- NPI assigned
- Jan 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7311 | IA | Primary |
Addresses
Primary practice location
4048 Glass Road NE
Cedar Rapids, IA 52402
Mailing address
5009 Autumn Drive NE
Cedar Rapids, IA 52411
Phone (319) 395-7483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0061382 | Medicaid | IA |
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 |
|---|---|---|---|
| 7311 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darrick Zirker DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Cedar Rapids, IA
- NPI 1417007535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902956014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 AUTUMN DRIVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52411",
"telephone_number": "319-395-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 GLASS ROAD NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52402",
"telephone_number": "319-832-2000",
"fax_number": "319-832-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIPPES",
"first_name": "JOSEPH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "7311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0061382",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.