Matthew D Reiland, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1001979-15 Issued in WI

Practice address

2921 Landmark PL Ste 100
Madison, WI 53713-4248

Phone

(608) 274-0770

NPI assigned

Jun 17, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 28, 2019 through Jun 28, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Madison Oral & Maxillofacial Surgeons SC

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison, WI
  • NPI 1144261199
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1093154601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 LANDMARK PL STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134248",
            "telephone_number": "608-274-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 LANDMARK PL STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134248",
            "telephone_number": "608-274-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILAND",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WI",
            "license": "72801-20",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "1001979-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Middle Reiels, RN
• Chelsea Reierson
• Kayla Jolene Reigel, COTA
• Julia Carol Reigh, MSW
• Patricia J Reigle
• Cydney Olivia Reilly, PT, DPT
• Keegan James Reilly, MD
• Martha Reilly, O. D
• Michael J Reilly
• Nicole M Reilly, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Madison, WI
• Providers in Madison, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.