Crout & O'Dell Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3374 Issued in WV

Legal business name

CROUT & O'DELL ORTHODONTICS

Practice address

3518 Teays Valley Rd
Hurricane, WV 25526-9235

Phone

(304) 562-1000

Fax

(304) 562-0777

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Richard Morrow Crout, DDS, MSNPI 1760581417

Title

Owner

Phone

(304) 562-1000

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard M Crout, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hurricane, WV
  • NPI 1760581417
  NPD (past) Authorized official
• Matthew Christopher O'Dell, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hurricane, WV
  • NPI 1689971962
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1982006938",
    "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",
            "fax_number": "304-562-0777"
        },
        {
            "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",
            "fax_number": "304-562-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUT & O'DELL ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "CROUT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MORROW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-562-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WV",
            "license": "3374",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WV",
            "license": "3824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7900009000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Benjamin Cox, D.O.
• Jessica Michelle Craig, MPT
• Natalie B Craig, PT
• Jeannie Renee Crawford
• Jennifer L. Criner, MPT
• Richard M Crout, DDS MS
• Crytzer Group LLC D/B/a Kinstead Family Services LLC (Kinstead Family Services LLC)
• Mary Crytzer
• Michele Marie Cunningham, CPHT
• Steven Everett Cunningham, RPH

• 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 22, 2014; 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.