Juan C Materon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7568 Issued in CO

Practice address

11275 E Mississippi Ave Ste 1E3
Aurora, CO 80012-2818

Phone

(720) 440-2233

Fax

(303) 557-6102

NPI assigned

Aug 31, 2006

Last updated

Dec 28, 2020By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• CO HMO D-SNP

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.

• Dental Partners of North Arvada

  • General Practice Dentistry
  • Arvada, CO
  • NPI 1588802433
  NPD (past) Authorized official
• Juan Materon

  dba Tu Sonrisa Dental

  • Dental Clinic/Center
  • Aurora, CO
  • NPI 1093303117
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1023120813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123263",
            "telephone_number": "720-440-2233",
            "fax_number": "303-557-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE STE 1E3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122818",
            "telephone_number": "720-440-2233",
            "fax_number": "303-557-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERON",
        "first_name": "JUAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02075687",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nomayi Naomi Matale-Herron
• Tatiana M Matanzo I
• Bridget Bulman Matarazzo, PSY.D.
• Jennifer Rebecca Matera, CNM
• David Matero, MD
• Sanila Math
• Shaila Mathai
• Susan Mathai
• Lynann Matheny
• Shauna Ejtehadi Matheny, DO

• Dentist in Aurora, CO
• Providers in Aurora, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.