DR. BRANDON J CRIVELLO D.M.D
NPI 1982054979
Dentist in Saint Louis, MO

Q: What is Brandon Crivello's NPI number?

The NPI number for Brandon Crivello is 1982054979. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Brandon Crivello's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Crivello was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since June 21, 2016PECOS Enrolled

915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Jun 21, 2016 (2 updates tracked since 2016).

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About Dr. Brandon J Crivello D.m.d NPPES

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

DR. BRANDON J CRIVELLO D.M.D (NPI 1982054979) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (2016020952) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982054979

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRANDON J CRIVELLOCredential: D.M.D

Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621

Mailing Address915 N Grand BlvdSaint Louis, MO 63106-1621

Phone(314) 652-4100

Sole ProprietorYes

Enumeration DateJune 21, 2016

Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1982054979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2016020952

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.

915 N GRAND BLVD, Saint Louis, MO 63106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Dr. Brandon J Crivello D.m.d 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 63106 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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 20

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

DR. MATTHEW CHRISTOPHER SIMPSON O.D.

Optometrist

915 N GRAND BLVD
SAINT LOUIS, MO 63106

St. Louis City (314) 652-4100

MS. CHARMIN MEYATTA GIBSON M.S.W.

Social Worker

915 N GRAND BLVD
SAINT LOUIS, MO 63106

St. Louis City (314) 652-4110

CONOR MCCARTNEY M.D.

Internal Medicine

915 N GRAND BLVD
SAINT LOUIS, MO 63106

St. Louis City (314) 652-4100

ALITA BILLOPS CNP

Nurse Practitioner (Primary Care)

915 N GRAND BLVD
SAINT LOUIS, MO 63106

St. Louis City (314) 652-4100

STEPHANIE ADAMS

Registered Nurse

915 N GRAND BLVD
SAINT LOUIS, MO 63106

St. Louis City (314) 289-7676

NAGLA ABDELMALEK M.D.

Emergency Medicine

915 N GRAND BLVD
SAINT LOUIS, MO 63106

St. Louis City (314) 652-4100

DR. JAMES MICHAEL HASIK DDS

Dentist (General Practice)

915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106

St. Louis City (314) 652-4100

MS. TRACY LANES CRNA

Nurse Anesthetist, Certified Registered

915 N GRAND BLVD
SAINT LOUIS, MO 63106

St. Louis City (314) 652-4100

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 Brandon Crivello's NPI number?

The NPI number for Brandon Crivello is 1982054979. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Brandon Crivello located?

Brandon Crivello practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Brandon Crivello's specialty?

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

Is Brandon Crivello enrolled in Medicare?

Yes. Brandon Crivello is registered in the Medicare PECOS enrollment system.

What insurance does Brandon Crivello accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 14 other insurers list Brandon Crivello 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 Brandon Crivello was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.