NPIMap

Organization Active NPI

Crossing Dental Care PC

  • General Practice Dentistry
  • Mattoon, IL
National Provider Identifier
1811699671
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROSSING DENTAL CARE PC
Practice address
117 Holiday Rd
Mattoon, IL 61938-4668
Phone
(217) 235-1101
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Yudong Xu, DMD
Title
Ceo
Phone
(217) 892-8868

Specialties & licenses 1

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

Addresses

Primary practice location

117 Holiday Rd
Mattoon, IL 61938-4668

Mailing address

117 Holiday Rd
Mattoon, IL 61938-4668

Other names 1

  • Cross County Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crossing Dental Care PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

117 Holiday Rd
Mattoon, IL 61938

140 N Market St
Paxton, IL 60957
Phone (217) 379-4649

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1811699671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HOLIDAY RD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HOLIDAY RD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384668",
            "telephone_number": "217-235-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSING DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "YUDONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-892-8868",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross County Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.