Cory L Crouse DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CORY L CROUSE DMD LLC

Practice address

99-128 Aiea Heights Dr Ste 603
Aiea, HI 96701-3939

Phone

(808) 487-3033

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Cory L Crouse, DMDNPI 1891216461

Title

Owner

Phone

(402) 203-6777

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory Lawrence Crouse, DMD

  • General Practice Dentistry
  • Waipahu, HI
  • NPI 1891216461
  NPD Authorized official
• Stephen H Fujinaka, DMD

  • Dentist
  • Aiea, HI
  • NPI 1730391285
  NPD (past)

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1912629007",
    "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": "99-128 AIEA HEIGHTS DR STE 603",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013939",
            "telephone_number": "808-487-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY L CROUSE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-203-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Cornejo
• Jennifer O Cornwell, LMFT, CSAC,
• Angelina Corral
• Jenna Corsi
• Marilou Javar Cortez
• Tea Costa
• Amanda A Courter, LCSW
• Mina Theresa Couture, LMHC
• Chandler Cassidy Cowell
• Alisha Coyle

• Dental Clinic/Center in Aiea, HI
• Providers in Aiea, HI by specialty
• Dental Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.