Active NPI
Yoon-Mi Matracia, DMD
- Pediatric Dentistry
- Dublin, OH
National Provider Identifier
1003011123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30022533
- Practice address
- 100 N High St
Suite D
Dublin, OH 43017-2155 - Phone
- (614) 761-3361
- Fax
- (614) 761-3398
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30022533 | OH | Primary |
Addresses
Primary practice location
100 N High St
Suite D
Dublin, OH 43017-2155
Mailing address
5003 Aspen Pine Blvd
Dublin, OH 43016-9335
Phone (310) 902-5927
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30022533 | OH | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1003011123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5003 ASPEN PINE BLVD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430169335",
"telephone_number": "310-902-5927",
"fax_number": "614-761-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HIGH ST",
"address_2": "SUITE D",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172155",
"telephone_number": "614-761-3361",
"fax_number": "614-761-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATRACIA",
"first_name": "YOON-MI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30022533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.