Matt Anzelc

Primary specialty

DentistTaxonomy code 122300000X

License

8045 Issued in MN

Practice address

3145 7TH Ave E
Hibbing, MN 55746-2625

Phone

(218) 263-8929

NPI assigned

Mar 5, 2012

Last updated

Mar 5, 2012By the provider in NPPES

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

Practice roles

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

• Matt M. Anzelc DDS PA

  • General Practice Dentistry
  • Hibbing, MN
  • NPI 1437162203
  NPD (past) Authorized official

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1013281377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 7TH AVE E",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462625",
            "telephone_number": "218-263-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 7TH AVE E",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462625",
            "telephone_number": "218-263-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZELC",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine E Anderson, MA, LICSW
• Julie Ann Anderson, PHARMD
• Lindsey Rebecca Anderson
• Ann Timmerman Ann Timmerman
• Jeanne Marie Antonich, CNP
• Merle Allan Arin, CCC-SLP
• Barbara J Aysta, PSYD
• Jan Linse Baldwin
• Katie Bannie, CNP
• Craig D Baron, PHARMD

• Dentist in Hibbing, MN
• Providers in Hibbing, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.