Dr. Brian Richard Crouse, D.D.S.
Dentist, General Practice in Boardman, OH. Individual provider (NPI-1).
NPI number1194006965
StatusActive
Last updated in NPPESNov 1, 2013
Details
- NPI
- 1194006965
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Richard Crouse
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2011
- Last updated
- Nov 1, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30.023470 | OH | Yes |
Practice location
755 Boardman Canfield RdSouthbridge West Building L-1
Boardman, OH 44512-4300
Phone 330-758-7750
Mailing address
755 Boardman Canfield RdSouthbridge West Building L-1
Boardman, OH 44512-4300
Phone 330-758-7750
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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