Matthew Steven Dockus, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN21327 Issued in FL

Practice address

1030 Belcher Rd S
Largo, FL 33771-3316

Phone

(727) 533-9199

NPI assigned

Jun 25, 2015

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• The Dental Walk in Clinic of Pinellas

  • General Practice Dentistry
  • Largo, FL
  • NPI 1588822613
  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1013399013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713316",
            "telephone_number": "727-533-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713316",
            "telephone_number": "727-533-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKUS",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DJC Physical Medicine Consultants LLC
• DME of Florida, L.L.C.
• Dna Comprehensive Therapy Services, LLC
• Lam Vinh DO
• Amy G. Doan, D.D.S.
• Doctors Preferred Nurse Registry Inc
• Doctors Wellnes Clinic
• Doctors Wellness Center
• Molli Dodaro
• John Dodson, MD

• Dentist in Largo, FL
• Providers in Largo, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.