Matthew R. Wolpert, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8289908-9922 Issued in UT

Practice address

3860 Jackson Ave Ste 6
Ogden, UT 84403-1979

Phone

(801) 627-0420

NPI assigned

Jan 27, 2012

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bonneville Preventive Dentistry PLLC

  • Dental Clinic/Center
  • Ogden, UT
  • NPI 1255776431
  NPD (past) Authorized official
• E Judd West DDS

  dba Rocky Mountain Professional Services

  • General Practice Dentistry
  • Ogden, UT
  • NPI 1952443772
  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1093087629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 JACKSON AVE STE 6",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 JACKSON AVE STE 6",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031979",
            "telephone_number": "801-627-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLPERT",
        "first_name": "MATTHEW",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8289908-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacy Winner, RN
• Dennis Damian Winters, MD
• Abby Winward
• Kellie Wittig
• Krissy Wolf
• Rachel Ilene Wolsey, LMT
• Bart Wilson Wolthuis, DDS
• Braden Wilson Wolthuis, ACNP
• Jared Garner Wolthuis, DDS
• John S Wolthuis, MD

• General Practice Dentistry in Ogden, UT
• Providers in Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.