Matthew C O'Dell, DDS, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MATTHEW C O'DELL, DDS, PLLC

Practice address

3518 Teays Valley Rd
Hurricane, WV 25526-9235

Phone

(304) 562-1000

NPI assigned

Sep 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Matthew O'Dell, DDSNPI 1689971962

Title

Orthodontist

Phone

(304) 562-1000

Specialties & licenses 1

Addresses

Other names 1

• O'Dell Orthodontics Doing business as

Practitioners 2

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

• Matthew Christopher O'Dell, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hurricane, WV
  • NPI 1689971962
  NPD Authorized official
• Richard M Crout, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hurricane, WV
  • NPI 1760581417
  NPD (past)

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631923200000",
    "number": "1558031773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269235",
            "telephone_number": "304-562-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269235",
            "telephone_number": "304-562-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW C O'DELL, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "304-562-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Dell Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Wilbert Martin, PT, DPT
• Shelli Marie Martin, PTA
• Teddy Joe Martin II, LMT
• Ashley Nichole Mason, DPT
• Charity Lenora Matney
• Brittney Maxwell, LSW
• Hilda J Maxwell, OD
• Jennifer Lee Maynard Mullins, OTR
• Chelsea McAllister
• Ginger L McAllister

• Orthodontics and Dentofacial Orthopedics Dentistry in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.