DR. JOHN MAX CRESTETTO DDS,MD
NPI 1063597375
Dentist - Oral and Maxillofacial Surgery in Rocky Mount, NC
About Dr. John Max Crestetto Dds,md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN MAX CRESTETTO DDS,MD (NPI 1063597375) is an individual oral and maxillofacial surgery provider in Rocky Mount, North Carolina, licensed in North Carolina (6759) and active in the NPI registry since October 2006. He has opted out of Medicare through March 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. John Max Crestetto Dds,md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2017 through March 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKY MOUNT, NC 27804
ROCKY MOUNT, NC 27804
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 John Crestetto's NPI number?
The NPI number for John Crestetto is 1063597375. It was assigned to this individual provider in the NPPES registry on October 26, 2006.
Where is John Crestetto located?
John Crestetto practices at 901 N Winstead Ave Suite 130, Rocky Mount, NC 27804. The listed phone number is (252) 443-7331.
What is John Crestetto's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is John Crestetto enrolled in Medicare?
No. John Crestetto has opted out of Medicare through March 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does John Crestetto accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list John Crestetto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Crestetto was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. John Max Crestetto, DDS,MD · NPI 1063597375
Oral and Maxillofacial Surgery provider in Rocky Mount, North Carolina. Individual provider, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1063597375 (Entity type: Individual)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 6759 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 N WINSTEAD AVE, SUITE 130, Rocky Mount, NC 27804-8467
- **Phone:** (252) 443-7331 · **Fax:** (252) 937-2381
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 20, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 2470371 (NC); Medicaid 0102X (NC); Medicare UPIN U66515 (NC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1063597375) · Data from the CMS NPPES public registry.