DR. ROBERT EDWARD CROSS (NPI# 1841344173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841344173 |
Entity Type | Individual |
Full Name | DR. ROBERT EDWARD CROSS |
Credential | DDS |
Practice Address |
134 Mckinley St East Peoria IL 61611-2550 |
Mailing Address |
1533 Hickory Point Rd Metamora IL 61548-7805 |
Practice Telephone | 3096996770 |
Mailing Telephone | 3093672935 |
Enumeration Date | 2007-01-23 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
19A11147 | IL | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 19A11147 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619472578 | Robert T Cross | Social Worker | 5545 Corsica Pl, Vero Beach, FL 32967-7658 | 2018-03-24 |
1770034381 | Robert Cross | Technician, Other | 15865 Goddard Rd Apt 206, Southgate, MI 48195-4468 | 2016-10-18 |
1144606039 | Robert Cross | Pharmacist | 1358 Rossini St, Henderson, NV 89052-5552 | 2015-08-03 |
1265855316 | Robert Clifton Cross II | Counselor | 3112 Simpson Highway 13, Mendenhall, MS 39114-3076 | 2014-01-27 |
1154769784 | Robert Stephen Cross | Social Worker | 6612 Crow Cir, Oklahoma City, OK 73132-2001 | 2013-06-05 |
1346219938 | Robert Kevin Cross | Optometrist | 11124 Kingston Pike Ste 127, Knoxville, TN 37934-2855 | 2006-03-16 |
1235111063 | Robert Michael Cross | Psychologist | 200 N Travis St, Ste 303, Sherman, TX 75090-0004 | 2005-11-17 |
1396203154 | Robert J Cross | Licensed Practical Nurse | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2019-03-11 |
1295938264 | Robert Cross | Dentist | 3630 Hill Blvd, Suite 302, Jefferson Valley, NY 10535-1502 | 2007-06-07 |
1265569826 | Robert S Cross | Preventive Medicine | 421 N Main St, Leeds, MA 01053-9764 | 2007-02-28 |
Street Address |
134 MCKINLEY ST |
City | EAST PEORIA |
State | IL |
Zip Code | 61611-2550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033263173 | David Ralph Trost | Dentist | 134 Mckinley St, East Peoria, IL 61611-2550 | 2007-01-23 |
1003954819 | Melissa Ann Porter | Dentist | 134 Mckinley St, East Peoria, IL 61611-2550 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548736390 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 133 Spinder Drive Ste 4015, East Peoria, IL 61611 | 2018-10-19 |
1083128474 | Abc Counseling & Family Services | Clinic/Center | 111 W. Washington St., Suite 410b, East Peoria, IL 61611 | 2017-11-22 |
1386162253 | Cheryl Denise Hagedorn | Speech-Language Pathologist | 306 Eckley Avenue, East Peoria, IL 61611 | 2017-08-31 |
1710342076 | Rebecca Uthe | Physical Therapist | 901 Illini Drive, East Peoria, IL 61611 | 2015-12-30 |
1669812103 | Christopher Webb | Dentist | 360 West Washington Street, East Peoria, IL 61611 | 2013-06-28 |
1386985380 | Dental Professionals of Illinois, P.C. | Dentist | 368 W. Washington St., East Peoria, IL 61611 | 2013-03-15 |
1730432675 | Synergy Healthcare Physical Medicine Sc | Chiropractor | 350 Cimmeron Drive, East Peoria, IL 61611 | 2012-10-16 |
1508122029 | Daniel Benjamin Gans | Radiology | 111 Oakwood Rd, East Peoria, IL 61611 | 2012-04-10 |
1326288390 | Sara Sabry Fouad Rizk | Pharmacist | 2540 East Washington Street, East Peoria, IL 61611 | 2009-03-03 |
1356466007 | Tazwood Mental Health Center, Inc. | Counselor | 111 W. Washington Street, Suite 230, East Peoria, IL 61611 | 2007-03-20 |
Find all providers in zip 61611 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386985380 | Dental Professionals of Illinois, P.C. | Dentist | 368 W. Washington St., East Peoria, IL 61611 | 2013-03-15 |
1548315575 | Thomas R. Nalepka D.d.s | Dentist | 809 W Camp St, East Peoria, IL 61611 | 2007-01-23 |
1033263173 | David Ralph Trost | Dentist | 134 Mckinley St, East Peoria, IL 61611-2550 | 2007-01-23 |
1720154149 | Viktor Maister | Dentist | 2404 E Washington St, East Peoria, IL 61611-1859 | 2006-11-28 |
1740842129 | Sung Kyung Kim | Dentist | 502 Riverside Dr, East Peoria, IL 61611-2068 | 2019-07-05 |
1407415250 | Ricardo Ulises Melchor-palma | Dentist | 1001 Illini Dr, East Peoria, IL 61611-1883 | 2019-06-06 |
1649764176 | Jiaying Ren | Dentist | 1001 Illini Dr, East Peoria, IL 61611-1883 | 2018-06-18 |
1962765875 | Joshua A Hudson | Dentist | 2404 E Washington St, East Peoria, IL 61611-1859 | 2012-06-18 |
1164659918 | James T Gray | Dentist | 2404 E Washington St, East Peoria, IL 61611-1859 | 2009-06-19 |
1376730200 | Michael Robert Cusack | Dentist | 2404 E Washington St, East Peoria, IL 61611-1859 | 2007-09-25 |
Find all providers in EAST PEORIA |
City | EAST PEORIA |
Zip Code | 61611 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.