NPIMap

Organization Active NPI

Crossing Dental Care PC

  • General Practice Dentistry
  • Mattoon, IL
National Provider Identifier
1366318511
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROSSING DENTAL CARE PC
Practice address
232 Richmond Ave E
Mattoon, IL 61938-4652
Phone
(217) 235-0448
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Yudong Xu, DMD
Title
Ceo
Phone
(217) 892-8868

Specialties & licenses 1

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

Addresses

Primary practice location

232 Richmond Ave E
Mattoon, IL 61938-4652

Mailing address

232 Richmond Ave E
Mattoon, IL 61938-4652
Phone (217) 235-0448

National Provider Directory

National Provider Directory
Tax ID family
Crossing Dental Care PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

232 Richmond Ave E
Mattoon, IL 61938
Phone (217) 235-0448

Practitioners & affiliated clinicians

Practitioners 2

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": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1366318511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 RICHMOND AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384652",
            "telephone_number": "217-235-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 RICHMOND AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384652",
            "telephone_number": "217-235-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSING DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "YUDONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-892-8868",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.