NPIMap

Organization Active NPI

Melvin E. Cruser III, DDS

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1497090864
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401005830 Issued in VA
Legal business name
MELVIN E. CRUSER III, DDS
Practice address
1209 Independence Blvd
Suite 110
Virginia Beach, VA 23455-5568
Phone
(757) 490-3111
Fax
(757) 499-8768
NPI assigned
Dec 11, 2012
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Mrs. Sara S Cruser
Title
Office Manager
Phone
(757) 490-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401005830 VA Primary

Addresses

Primary practice location

1209 Independence Blvd
Suite 110
Virginia Beach, VA 23455-5568

Mailing address

1209 Independence Blvd
Suite 110
Virginia Beach, VA 23455-5568
Phone (757) 490-3111

National Provider Directory

National Provider Directory
Tax ID family
Vernon E O'Berry Jr DDS15 organizations share this tax ID, including this one
Part of
Vernon E O'Berry Jr DDS

Other organizations with this tax ID 14

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

View all 14

Locations

1209 Independence Blvd
Ste 110
Virginia Beach, VA 23455
Phone (757) 490-3111

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1497090864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 INDEPENDENCE BLVD",
            "address_2": "SUITE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555568",
            "telephone_number": "757-490-3111",
            "fax_number": "757-499-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 INDEPENDENCE BLVD",
            "address_2": "SUITE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555568",
            "telephone_number": "757-490-3111",
            "fax_number": "757-499-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN E. CRUSER III, DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "CRUSER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-490-3111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 2012; 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.