Matthew W Bayless DDS PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MATTHEW W BAYLESS DDS PC

Practice address

19750 State Highway 46 W Ste 105
Spring Branch, TX 78070-6881

Phone

(830) 438-2193

Fax

(830) 438-2196

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Matthew BaylessNPI 1215035571

Title

Owner

Phone

(830) 438-2193

Specialties & licenses 2

Addresses

Other names 1

• Summer Hill Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Summer Hill Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Summer Hill Dental PC

  • General Practice Dentistry
  • Spring Branch, TX
  • NPI 1497293997
  NPD tax ID

Practitioners 1

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

• Matthew Bayless, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring Branch, TX
  • NPI 1215035571

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1093118259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19750 STATE HIGHWAY 46 W",
            "address_2": "SUITE 105",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706881",
            "telephone_number": "830-438-2193",
            "fax_number": "830-438-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19750 STATE HIGHWAY 46 W STE 105",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706881",
            "telephone_number": "830-438-2193",
            "fax_number": "830-438-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW W BAYLESS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "BAYLESS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-438-2193"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Malish, LCSW
• Courtney Elizabeth Martin
• Jamie Lynn Martin, MSN, APRN-CNP
• Jordan Masso, D.C.
• Sarah Grace Mata, BCABA
• Kent E Mayhugh, RN
• Arain Jeanette McClain, APRN, FNP
• Lisa Dawn McGinnis, LPC
• Med Southwest, PLLC
• Mercy Wellness Clinic Alamo Ranch PLLC

• All providers in Spring Branch, TX
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.