NPIMap

Organization Active NPI

MX6, LLC

Doing business as McCracken Family Dentistry

  • General Practice Dentistry
  • Tuscaloosa, AL
National Provider Identifier
1396327177
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MX6, LLC
Doing business as
McCracken Family Dentistry
Practice address
621 Helen Keller Blvd Ste 100
Tuscaloosa, AL 35404-2962
Phone
(205) 633-1900
Fax
(205) 633-1154
NPI assigned
Apr 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dr. Matthew Ryan McCracken, DMDNPI 1316032667
Title
Owner/Dentist
Phone
(205) 633-1900

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

621 Helen Keller Blvd Ste 100
Tuscaloosa, AL 35404-2962

Mailing address

621 Helen Keller Blvd Ste 100
Tuscaloosa, AL 35404-2962
Phone (205) 633-1900

Other identifiers 2

IdentifierTypeStateIssuer
5230OtherALDENTAL LICENSE
5196OtherALDENTAL LICENSE

Other names 1

  • McCracken Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.davis1979@outlook.com Direct

National Provider Directory

National Provider Directory

Locations

621 Helen Keller Blvd
Ste 100
Tuscaloosa, AL 35404
Phone (205) 633-1900

Practitioners & affiliated clinicians

Practitioners 3

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": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1396327177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 HELEN KELLER BLVD STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042962",
            "telephone_number": "205-633-1900",
            "fax_number": "205-633-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 HELEN KELLER BLVD STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042962",
            "telephone_number": "205-633-1900",
            "fax_number": "205-633-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MX6, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "205-633-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "5230",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "5196",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.davis1979@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "621 Helen Keller Blvd Ste 100",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354042962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "McCracken Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.