Rafed Matti, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5938 Issued in AZ

Practice address

5422 W Thunderbird Rd Ste 20
Glendale, AZ 85306-4717

Phone

(602) 439-1400

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• NM HMO C-SNP

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003034638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD STE 20",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064717",
            "telephone_number": "602-439-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD STE 20",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064717",
            "telephone_number": "602-439-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTI",
        "first_name": "RAFED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tigger R Mathis, MSN,APN,FNP
• Matilda Family Medicine
• Gibson Matimbire, PHARMD
• Lisa Mattei, LPN
• Matthew D Skinner, MD, P.C.
• Lara Mattingly
• Sommer Mattingly, FNP-C
• Amanda Matto, PT, DPT
• Jessica Rene Matus, MA, BCBA, LBA
• Ciera Elizabeth Mauk, MA, BCBA

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.