CROSSROADS PEDIATRIC DENTISTRY PC
NPI 1043319619
Clinic/Center - Dental in Goshen, IN

Active since September 21, 2006
21781 OMEGA CT, GOSHEN, IN 46528(574) 875-6531(574) 875-8256 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crossroads Pediatric Dentistry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS PEDIATRIC DENTISTRY PC (NPI 1043319619) is a healthcare organization registered as a dental in Goshen, Indiana and active in the NPI registry since September 2006. The organization lists Michael F Bigler, President, as its authorized official.

NPPES Registry Identity

NPI1043319619
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCROSSROADS PEDIATRIC DENTISTRY PC
Location Address21781 OMEGA CTGoshen, IN 46528-7809
Mailing Address21781 Omega CtGoshen, IN 46528-7809 · (574) 875-6531 · Fax (574) 875-8256
Fax(574) 875-8256
Organization SubpartNo
Authorized OfficialMichael F BiglerPresident · (574) 875-6531
Enumeration DateSeptember 21, 2006
Last NPPES UpdateFebruary 7, 2013
NPI 1043319619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in IN · 12007759
21781 OMEGA CT, Goshen, IN 46528

Other Identifiers 1

Medicaid100065260IN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
21781 OMEGA CT
GOSHEN, IN 46528
Dentist (Pediatric Dentistry)
21781 OMEGA CT
GOSHEN, IN 46528
Dentist (Pediatric Dentistry)
21781 OMEGA CT
GOSHEN, IN 46528

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Pediatric Dentistry PC's NPI number?

The NPI number for Crossroads Pediatric Dentistry PC is 1043319619. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Crossroads Pediatric Dentistry PC located?

Crossroads Pediatric Dentistry PC is located at 21781 Omega Ct, Goshen, IN 46528. The listed phone number is (574) 875-6531.

What is Crossroads Pediatric Dentistry PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Crossroads Pediatric Dentistry PC was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.