NPIMap

Organization Active NPI

R Craig Mathews DDS Inc

  • General Practice Dentistry
  • Athens, OH
National Provider Identifier
1063872968
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.015779 Issued in OH
Legal business name
R CRAIG MATHEWS DDS INC
Doing business as
RIVERWALK DENTAL
Practice address
530 W Union St
Suite a
Athens, OH 45701-8303
Phone
(740) 592-1483
Fax
(740) 593-6602
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Randall C Mathews, DDSNPI 1629111976
Title
Owner
Phone
(740) 592-1483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.015779 OH Primary

Addresses

Primary practice location

530 W Union St
Suite a
Athens, OH 45701-8303

Mailing address

530 W Union St
Suite a
Athens, OH 45701-8303
Phone (740) 592-1483

Other names 1

  • RIVERWALK DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

530 W Union St
Ste A
Athens, OH 45701
Phone (740) 592-1483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1063872968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W UNION ST",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018303",
            "telephone_number": "740-592-1483",
            "fax_number": "740-593-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W UNION ST",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018303",
            "telephone_number": "740-592-1483",
            "fax_number": "740-593-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R CRAIG MATHEWS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-592-1483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.015779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERWALK DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.