1. Home
  2. Directory
  3. North Carolina
  4. Elizabethtown
  5. Dentist
  6. NPI Profile

DR. SAMUEL RAY CROSS
NPI 1174700967
Dentist in Elizabethtown, NC

Active since January 24, 2008PECOS Enrolled
401 DOCTOR'S CIRCLE, ELIZABETHTOWN, NC 28337(910) 862-2892 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Ray Cross NPPES

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

DR. SAMUEL RAY CROSS (NPI 1174700967) is an individual dentist in Elizabethtown, North Carolina, licensed in North Carolina (4625) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174700967
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMUEL RAY CROSS
Location Address401 DOCTOR'S CIRCLEElizabethtown, NC 28337
Mailing Address401 Doctor's CircleElizabethtown, NC 28337 · (910) 862-2892
Phone(910) 862-2892
Sole ProprietorYes
Enumeration DateJanuary 24, 2008
✔ NPI 1174700967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 4625
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
401 DOCTOR'S CIRCLE, Elizabethtown, NC 28337
Open in Google Maps ↗

Other Identifiers 3

Medicaid8991904NC
OtherU37843NC · Upin
Other91904NC · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Ray Cross is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Samuel Cross's NPI number?

The NPI number for Samuel Cross is 1174700967. It was assigned to this individual provider in the NPPES registry on January 24, 2008.

Where is Samuel Cross located?

Samuel Cross practices at 401 Doctor's Circle, Elizabethtown, NC 28337. The listed phone number is (910) 862-2892.

What is Samuel Cross's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Samuel Cross enrolled in Medicare?

Yes. Samuel Cross is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Cross was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.