Katia Mattos, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN19592 Issued in FL

Practice address

2905 SW 160TH Ave
Miramar, FL 33027-4212

Phone

(954) 392-7051

NPI assigned

Apr 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endodontic Specialists of Rockwall Bamf Dental PLLC Sole MBR

  • Endodontics
  • Rockwall, TX
  • NPI 1952742470
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1003173386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BRICKELL AVE UNIT 4201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313790",
            "telephone_number": "786-208-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274212",
            "telephone_number": "954-392-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOS",
        "first_name": "KATIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "30612",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN19592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Matos
• Yenis D Matos
• Carlos Lydell Matthews
• Jonell Matthews, APRN
• Danielle Mattis
• Lynn Marie Mauricio, PHARMD
• Carl Maurilus, PHARM D.
• Emmy Nerlandy Maurilus, PH.D., BCBA-D
• Melrose Maxwell, RN
• Dean L Maynard, MD

• Endodontics in Miramar, FL
• Providers in Miramar, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.