Matthew Kincaid DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

6219 Issued in OK

Legal business name

MATTHEW KINCAID DDS PLLC

Practice address

1402 S Aspen Ave
Broken Arrow, OK 74012-4807

Phone

(918) 258-8515

NPI assigned

Aug 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Kincaid, DDS

Title

Owner

Phone

(918) 258-8515

Specialties & licenses 1

Addresses

Other names 1

• Kincaid Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A. Kincaid, D.D.S.

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1114951837
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1053864439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124807",
            "telephone_number": "918-258-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124807",
            "telephone_number": "918-258-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW KINCAID DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-258-8515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kincaid Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athena C Mason, D.O.
• Nicole Paola Mathes, MD
• James V Mathews
• Leah Gail Mathias, FNP
• Shelby Nichole Mathis
• Rebecca Maturino
• Kristen Ruth Maupin, O.T.R./L.
• Roderick Lamorn Maupin
• Lillian Rose Maxey, MS CCC-SLP
• Ethan May

• Dentist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.