Robert S Mattingly DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROBERT S MATTINGLY DMD

Practice address

127 S Capitol Ave
Corydon, IN 47112-1103

Phone

(812) 738-0108

Fax

(812) 738-7758

NPI assigned

Dec 5, 2006

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert S Mattingly, DMDNPI 1700220829

Title

Dentist Owner

Phone

(812) 738-0108

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert S Mattingly

  • General Practice Dentistry
  • Corydon, IN
  • NPI 1700220829
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1063570323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S CAPITOL AVE",
            "address_2": "PO BOX 387",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471121103",
            "telephone_number": "812-738-0108",
            "fax_number": "812-738-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S CAPITOL AVE",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471121103",
            "telephone_number": "812-738-0108",
            "fax_number": "812-738-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S MATTINGLY DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "812-738-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth J Renner, M.D.
• Jonathan Reynolds, DC
• Shayne Leann Rhoads, LCSW
• Lisa Rice
• Donna Richmond, PT,CWS
• Brenda Sue Robertson
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• William Kirk Roggenkamp, LCSW
• Natalie Rosbottom, PHARMD

• General Practice Dentistry in Corydon, IN
• Providers in Corydon, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.