Individual provider Active NPI

Matthew S. Cronan, DMD

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1568845501
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856953 Issued in MA
Practice address
2521 N Landing Rd Ste 100
Virginia Beach, VA 23456-3460
Phone
(757) 430-9448
Fax
(757) 427-5121
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856953 MA Primary

Addresses

Primary practice location

2521 N Landing Rd Ste 100
Virginia Beach, VA 23456-3460

Mailing address

2521 N Landing Rd Ste 100
Virginia Beach, VA 23456-3460
Phone (207) 907-6389

Other practice location 1

56 New Driftway
Scituate, MA 02066-4533
Phone (781) 545-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1856953MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1568845501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 N LANDING RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563460",
            "telephone_number": "207-907-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 N LANDING RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563460",
            "telephone_number": "757-430-9448",
            "fax_number": "757-427-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 New Driftway",
            "address_purpose": "LOCATION",
            "city": "Scituate",
            "state": "MA",
            "postal_code": "020664533",
            "country_code": "US",
            "telephone_number": "781-545-5102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONAN",
        "first_name": "MATTHEW",
        "middle_name": "S.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856953",
            "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 Oct 11, 2023; 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.