Organization Active NPI

Matthew T. Ankrum DDS, Ms, PC

  • Dental Clinic/Center
  • Blacksburg, VA
National Provider Identifier
1285342626
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MATTHEW T. ANKRUM DDS, MS, PC
Practice address
3708 S Main St Ste H
Blacksburg, VA 24060-7007
Phone
(540) 552-1100
Fax
(540) 552-6900
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Dr. Matthew Todd Ankrum, DDS, MSNPI 1972512713
Title
President
Phone
(540) 552-1100

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3708 S Main St Ste H
Blacksburg, VA 24060-7007

Mailing address

3708 S Main St Ste H
Blacksburg, VA 24060-7007
Phone (540) 552-1100

National Provider Directory

National Provider Directory

Locations

3708 S Main St
Ste H
Blacksburg, VA 24060
Phone (540) 552-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1285342626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 S MAIN ST STE H",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607007",
            "telephone_number": "540-552-1100",
            "fax_number": "540-552-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 S MAIN ST STE H",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607007",
            "telephone_number": "540-552-1100",
            "fax_number": "540-552-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW T. ANKRUM DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "ANKRUM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-552-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.