Cruikshank & Mathias Dentists Inc

Primary specialty

DentistTaxonomy code 122300000X

License

WV 1794 Issued in WV

Legal business name

CRUIKSHANK & MATHIAS DENTISTS INC

Practice address

215 S Louisiana Avenue
Martinsburg, WV 25401-2037

Phone

(304) 267-8702

Fax

(304) 263-2787

NPI assigned

Oct 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Matthew Mathias, DDS

Title

Vice President Dentist

Phone

(304) 267-8702

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710067269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S LOUISIANA AVENUE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012037",
            "telephone_number": "304-267-8702",
            "fax_number": "304-263-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S LOUISIANA AVENUE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012037",
            "telephone_number": "304-267-8702",
            "fax_number": "304-263-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUIKSHANK & MATHIAS DENTISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT DENTIST",
        "authorized_official_telephone_number": "304-267-8702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "WV 1794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Knott Cross, PA-C
• Stephanie L Cross, PHARM D
• Bridgett Croushorn
• Lora Brown Crowell, RN
• Consuela J Cruden-Parham, M.D.
• Danny Crum, PSYCHOLOGIST
• Sylvia S Cruz, DO
• Cynthia Culley, RN
• James Nelson Cullison
• Kimberly R Cumbie, LCSW, LICSW,LCSW-C

• Dentist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.