Active NPI
Ioana Letitia Chesnoiu Matei, DDS
- Periodontics
- Davie, FL
National Provider Identifier
1043724479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN29806
- Practice address
- 3200 S University Dr RM 7351
Davie, FL 33328-2018 - Phone
- (954) 262-7500
- NPI assigned
- Nov 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 000085 | NY | |
| Periodontics | 1223P0300X | DN29806 | FL | Primary |
| Periodontics | 1223P0300X | RFD000047 | PA |
Addresses
Primary practice location
3200 S University Dr RM 7351
Davie, FL 33328-2018
Mailing address
1322 NW 13TH CT
Boca Raton, FL 33486-1240
Other practice location 1
630 W 168th St Rm 7-200C
New York, NY 10032-3725
Phone (929) 316-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180307001294 | NY | Order and Referring Only - Dentist | 9537420559 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN29806 | FL | MD | Periodontist |
| RFD000047 | PA | MD | Periodontist |
| 064410 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1043724479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 NW 13TH CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S UNIVERSITY DR RM 7351",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282018",
"telephone_number": "954-262-7500"
}
],
"practiceLocations": [
{
"address_1": "630 W 168th St Rm 7-200C",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323725",
"country_code": "US",
"telephone_number": "929-316-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHESNOIU MATEI",
"first_name": "IOANA LETITIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-21",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "000085",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN29806",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "RFD000047",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.