Matthew Ryan McCracken, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5196 Issued in AL

Practice address

1402 Veterans Memorial Pkwy
Suite B
Tuscaloosa, AL 35404-4754

Phone

(205) 556-6511

Fax

(205) 556-6571

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MX6, LLC

  • General Practice Dentistry
  • Tuscaloosa, AL
  • NPI 1396327177
  NPD Authorized official
• MRM, LLC

  • Dentist
  • Tuscaloosa, AL
  • NPI 1558468108
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316032667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 FORT SUMTER CIR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061742",
            "telephone_number": "205-248-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 VETERANS MEMORIAL PKWY",
            "address_2": "SUITE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354044754",
            "telephone_number": "205-556-6511",
            "fax_number": "205-556-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C McCauley, MS, OTR/L
• Cassandra Scott McClain, LMSW
• Joshua Ashmore McClanahan, DMD
• Lucas Justin McCook, MD
• Loren Meredith McCracken, DMD
• Michael Park McCracken
• Alex Joseph McCrory, PA-C, LAT, ATC
• Sara Robertson McCullough
• Donald Pittard McCurdy, M.D.
• Jennifer McDanal

• Dentist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.