Organization Active NPI

Matthew Cronan, DMD, PLLC

Doing business as Lighthouse Dental Group

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1255042073
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MATTHEW CRONAN, DMD, PLLC
Doing business as
Lighthouse Dental Group
Practice address
2521 N Landing Rd Ste 100
Virginia Beach, VA 23456-3460
Phone
(757) 430-9448
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Shannon CronanNPI 1659722890
Title
Office Administrator
Phone
(757) 430-9448

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2521 N Landing Rd Ste 100
Virginia Beach, VA 23456-3460

Mailing address

2521 N Landing Rd Ste 100
Virginia Beach, VA 23456-3460
Phone (757) 430-9448

Other identifiers 2

IdentifierTypeStateIssuer
1821103714OtherPROVIDER NPI
13966489811OtherPROVIDER NPI

Other names 1

  • Lighthouse Dental Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xrays@lighthousedentalgroup.org Direct

National Provider Directory

National Provider Directory

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": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1255042073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 N LANDING RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563460",
            "telephone_number": "757-430-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 N LANDING RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563460",
            "telephone_number": "757-430-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW CRONAN, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "CRONAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "757-430-9448"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1821103714",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "13966489811",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xrays@lighthousedentalgroup.org",
            "affiliation": "N",
            "endpointDescription": "Protected email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2521 N Landing Rd Ste 100",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234563460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lighthouse Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.