Active NPI
David J. Crossley, DDS
- Dentist
- Watertown, NY
National Provider Identifier
1972752707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 023947
- Practice address
- 145 Clinton St
Suite 112
Watertown, NY 13601-3621 - Phone
- (315) 788-3240
- Fax
- (315) 788-1279
- NPI assigned
- Sep 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 023947 | NY | Primary |
Addresses
Primary practice location
145 Clinton St
Suite 112
Watertown, NY 13601-3621
Mailing address
145 Clinton St
Suite 112
Watertown, NY 13601-3621
Phone (315) 788-3240
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 |
|---|---|---|---|
| 023947 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossley Dental Associates PC | 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
- Watertown, NY
- NPI 1023376282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1972752707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 CLINTON ST",
"address_2": "SUITE 112",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136013621",
"telephone_number": "315-788-3240",
"fax_number": "315-788-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 CLINTON ST",
"address_2": "SUITE 112",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136013621",
"telephone_number": "315-788-3240",
"fax_number": "315-788-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSLEY",
"first_name": "DAVID",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "023947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.