Matthew S Stiles, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2024000581 Issued in MO

Practice address

3100 E Zora St
Webb City, MO 64870-9770

Phone

(417) 228-8286

NPI assigned

Jun 24, 2019

Last updated

Mar 12, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Locations

Interoperability endpoints

• Direct secure messaging: matthew.stiles@chcsek.eclinicaldirectplus.com

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.

• Community Health Center of Southeast Kansas Inc

  • Federally Qualified Health Center (FQHC)
  • Pittsburg, KS
  • NPI 1669474425
  Medicare reassignment NPD
• Community Health Center of Southeast Kansas Inc

  • Federally Qualified Health Center (FQHC)
  • Baxter Springs, KS
  • NPI 1487351086
  NPD
• Moc Joplin, PLLC

  dba Joplin Children's Dentistry

  • Dentist
  • Joplin, MO
  • NPI 1265096325
  NPD (past)
• Moc Webb City, P L L C

  • Dentist
  • Webb City, MO
  • NPI 1013542232
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1013578889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E ZORA ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648709770",
            "telephone_number": "417-228-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E ZORA ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648709770",
            "telephone_number": "417-228-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61658",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2024000581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SCPG Missouri LLC (Express Rx of Webb City)
• Serc Rehabilitation Partners LLC (SERC - Webb City)
• Ashlynn Skye
• Shirley D Smith, M.S., LP.C, NCC
• Alicia Dawn Snyder, PHARMD
• Stones Corner Pharmacy Inc (Stone's Corner Pharmacy)
• Tanya Christine Thomas, MS, CIT
• Eric Richard Thomason, NP
• Kimberly D. Thomason, P.A.
• Teyoni Tuck, NP

• Dentist in Webb City, MO
• Providers in Webb City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.