Matthew Valooran Joseph, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28424 Issued in FL

Practice address

2328 Citadel Way Ste 101
Melbourne, FL 32940-6192

Phone

(321) 203-5251

NPI assigned

Jul 24, 2023

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

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

Practice roles

Networks

• FL HMO C-SNP

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.

• Viera Modern Dentistry, PA

  • Dentist
  • Melbourne, FL
  • NPI 1144746116
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1013697192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 JUDGE FRAN JAMIESON WAY UNIT 2130",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406232",
            "telephone_number": "407-704-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 CITADEL WAY STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406192",
            "telephone_number": "321-203-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MATTHEW",
        "middle_name": "VALOORAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Jordan, DNP APRN PMHNP-BC
• Breanna Paige Jorgensen, RBT
• Joseph J Chanda MD PA
• Cindy Joseph, M.D.
• Joji Joseph
• Reginald Joseph, PA
• Winsky Joseph
• Josie'S Pediatric Therapy Services P.a.
• Brianna Colleen Jost
• Heidi Marie Joyce, PTA

• General Practice Dentistry in Melbourne, FL
• Providers in Melbourne, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.