Active NPI
Crossroads Dental Care
- General Practice Dentistry
- Lehigh Acres, FL
National Provider Identifier
1992724116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8703
- Legal business name
- CROSSROADS DENTAL CARE
- Practice address
- 5781 Lee Blvd Unit 103
Lehigh Acres, FL 33971-6338 - Phone
- (239) 334-0037
- Fax
- (239) 332-4169
- NPI assigned
- Jul 19, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William A. Greider, DMD
- Title
- Owner
- Phone
- (239) 334-0037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8703 | FL | Primary |
Addresses
Primary practice location
5781 Lee Blvd Unit 103
Lehigh Acres, FL 33971-6338
Mailing address
5781 Lee Blvd Unit 103
Lehigh Acres, FL 33971-6338
Phone (239) 334-0037
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992724116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5781 LEE BLVD UNIT 103",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339716338",
"telephone_number": "239-334-0037",
"fax_number": "239-332-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5781 LEE BLVD UNIT 103",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339716338",
"telephone_number": "239-334-0037",
"fax_number": "239-332-4169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GREIDER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-334-0037",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "8703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.