Timothy H Cross, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D 8091 Issued in AZ

Practice address

15920 S Rancho Sahuarita Blvd
Suite 100
Sahuarita, AZ 85629-8012

Phone

(520) 838-0600

Fax

(520) 838-0865

NPI assigned

Aug 12, 2010

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 AZ

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

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1952616062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD",
            "address_2": "SUITE 100",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298012",
            "telephone_number": "520-838-0600",
            "fax_number": "520-838-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD",
            "address_2": "SUITE 100",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298012",
            "telephone_number": "520-838-0600",
            "fax_number": "520-838-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "TIMOTHY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D 8091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracee M Comstock, PHARM D
• Anthony Cooper, CSFA
• Coppermine Dental Studio at Rancho Sahuarita PLLC
• Coppermine Rancho Sahuarita LLC (Coppermine Dental Studio)
• Crystal M Cote, MA
• Roxanne Graham Cruz, CCC-SLP
• Sarah Anne Dachtyl, PHD
• Adrienne N Davis
• Christopher K Davis
• Gordon Douglas Dever, OTR

• Dentist in Sahuarita, AZ
• Providers in Sahuarita, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.