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DALLAS PAYNE CRICKENBERGER MD NPI 1417921362


NPI Information

NPI: 1417921362
Provider Name: DALLAS PAYNE CRICKENBERGER, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Address:
3 RIVERSIDE CIR
ROANOKE, VA
ZIP 24016
Phone: (540) 725-1226
Get Directions

Dallas Payne Crickenberger, MD is an orthopaedic surgery in Roanoke, VA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Dallas Payne Crickenberger, MD NPI is 1417921362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3 RIVERSIDE CIR
ROANOKE, VA
ZIP 24016-955
Phone: (540) 725-1226
Fax: (540) 857-5306

The enumeration date for this NPI number is 2/16/2006 and was last updated on 3/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery0101-017904VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11417921362OTHERVIRGINIAVA PREMIER
2371194700OTHERVIRGINIABLACK LUNG
31417921362OTHERVIRGINIAINTOTAL
41417921362OTHERVIRGINIAUNITED HEALTHCARE
51417921362OTHERVIRGINIAVIRGINIA HEALTH NETWORK
61417921362OTHERVIRGINIAHUMANA MEDICARE
70097064000OTHERVIRGINIAMEDICAID OF WEST VIRGINIA
81417921362OTHERVIRGINIAANTHEM
91417921362OTHERVIRGINIAHEALTHKEEPERS
101417921362OTHERVIRGINIAAETNA
111417921362OTHERVIRGINIAHEALTHKEEPERS PLUS
121417921362OTHERVIRGINIAUMWA
13540506332004OTHERVIRGINIATRICARE/CHAMPUS
14B07555MEDICARE UPINVIRGINIA
151417921362OTHERVIRGINIAMAJESTACARE
161417921362MEDICAIDVIRGINIA
171417921362OTHERVIRGINIAOPTIMA HEALTH PLAN
18P200030655OTHERVIRGINIARAILROAD MEDICARE
191417921362OTHERVIRGINIACIGNA
201417921362OTHERVIRGINIASOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
211417921362OTHERVIRGINIAGATEWAY
22200000978MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.