Organization Active NPI

Crossroads Family Dentistry

  • Dentist
  • Forest, VA
National Provider Identifier
1528536992
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CROSSROADS FAMILY DENTISTRY
Practice address
14761 Forest Road
Forest, VA 24551
Phone
(434) 841-1704
NPI assigned
Nov 5, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Steven Dennis Hatch, DDS
Title
Owner
Phone
(434) 485-6699

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

14761 Forest Rd
Forest, VA 24551
Phone (434) 841-1704

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

NPPES NPI Registry

Primary practice location

14761 Forest Road
Forest, VA 24551

Mailing address

14761 Forest Road
Forest, VA 24551
Phone (434) 841-1704

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2018.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1528536992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14761 FOREST ROAD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "24551",
            "telephone_number": "434-841-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14761 FOREST ROAD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "24551",
            "telephone_number": "434-841-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-485-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.