Active NPI
Matthew Cronan, DMD, PLLC
Doing business as Lighthouse Dental Group
- Dentist
- Virginia Beach, VA
National Provider Identifier
1255042073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Cronan
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821103714 | Other | PROVIDER NPI | |
| 13966489811 | Other | PROVIDER NPI |
Other names 1
- Lighthouse Dental Group
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | xrays@lighthousedentalgroup.org | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Virginia Beach, VA
- NPI 1659722890
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.