Active NPI
John A Cross, D.D.S.
- General Practice Dentistry
- Colchester, VT
National Provider Identifier
1942237375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 839
- Practice address
- 97 Blakely Rd
Suite 104
Colchester, VT 05446-4008 - Phone
- (802) 862-8266
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 839 | VT | Primary |
Addresses
Primary practice location
97 Blakely Rd
Suite 104
Colchester, VT 05446-4008
Mailing address
1017 Cheesefactory Rd
Shelburne, VT 05482-7177
Phone (802) 985-8170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 839 | Other | VT | DENTAL LICENSE NUMBER |
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 |
|---|---|---|---|
| 839 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mallett'S Bay Dentistry | Past | Accepting new patients | |
| Crafton Family Dentistry PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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
- Colchester, VT
- NPI 1508191651
General Practice
-
- Dental Clinic/Center
- Colchester, VT
- NPI 1477851723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942237375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 CHEESEFACTORY RD",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054827177",
"telephone_number": "802-985-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 BLAKELY RD",
"address_2": "SUITE 104",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054464008",
"telephone_number": "802-862-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE NUMBER",
"identifier": "839",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colchester, VT
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.