HANNIBAL ALEXANDER CRISP DMD
NPI 1841673613
Dentist - Oral and Maxillofacial Surgery in Raleigh, NC

Active since June 29, 2015PECOS Enrolled
4201 LAKE BOONE TRL STE 2, RALEIGH, NC 27607(919) 787-3949 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hannibal Alexander Crisp Dmd NPPES

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

HANNIBAL ALEXANDER CRISP DMD (NPI 1841673613) is an individual oral and maxillofacial surgery provider in Raleigh, North Carolina, licensed in North Carolina (10091) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841673613
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameHANNIBAL ALEXANDER CRISPCredential: DMD
Location Address4201 LAKE BOONE TRL STE 2Raleigh, NC 27607-7511
Mailing Address4201 Lake Boone Trl Ste 2Raleigh, NC 27607-7511 · (919) 787-3949 · Fax (919) 787-7634
Sole ProprietorYes
Enumeration DateJune 29, 2015
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
NPI 1841673613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NC · 10091
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 10091 (NC)
4201 LAKE BOONE TRL STE 2, Raleigh, NC 27607

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hannibal Alexander Crisp Dmd 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 27607 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.

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
4201 LAKE BOONE TRL STE 2
RALEIGH, NC 27607
Dentist (Oral and Maxillofacial Surgery)
4201 LAKE BOONE TRL STE 2
RALEIGH, NC 27607

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 Hannibal Crisp's NPI number?

The NPI number for Hannibal Crisp is 1841673613. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Hannibal Crisp located?

Hannibal Crisp practices at 4201 Lake Boone Trl Ste 2, Raleigh, NC 27607. The listed phone number is (919) 787-3949.

What is Hannibal Crisp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Hannibal Crisp enrolled in Medicare?

Yes. Hannibal Crisp is registered in the Medicare PECOS enrollment system.

What insurance does Hannibal Crisp accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 15 other insurers list Hannibal Crisp 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 Hannibal Crisp was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.