Individual provider Active NPI

Albert E Crusco, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1962698282
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25095 Issued in TX
Practice address
7700 Broadway Ste 102
San Antonio, TX 78209-3260
Phone
(210) 828-5300
NPI assigned
Sep 20, 2007
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X BD22019 NM
General Practice Dentistry 1223G0001X D6092 AZ
General Practice Dentistry 1223G0001X 25095 TX Primary

Addresses

Primary practice location

7700 Broadway Ste 102
San Antonio, TX 78209-3260

Mailing address

24625 Wilderness Oak Apt 11302
San Antonio, TX 78260-7273
Phone (928) 257-6585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20230314003147 NM Practitioner - Dentist 8820462856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D6092AZMDGeneral Practice Dentistry
BD22019NMMDGeneral Practice Dentistry
25095TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Mar 13, 2023 Accepting new patients
Presbyterian Medical Services General Practice CurrentSince Mar 13, 2023 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
New Heights Dental and Braces PA General Practice Past Accepting new patients
New Heights Dental and Braces PastSince May 16, 2021 Accepting new patients

Locations

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1962698282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24625 WILDERNESS OAK APT 11302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782607273",
            "telephone_number": "928-257-6585",
            "fax_number": "210-928-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 BROADWAY STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093260",
            "telephone_number": "210-828-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSCO",
        "first_name": "ALBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "BD22019",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6092",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.