Sharon B. Mateja, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31949 Issued in CA

Practice address

7365 Carnelian St
Suite 111
Rancho Cucamonga, CA 91730-1158

Phone

(909) 989-5959

Fax

(909) 944-0015

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Le-Viet Dental and Surgical Arts

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1215687538
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1093885758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST",
            "address_2": "SUITE 111",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301158",
            "telephone_number": "909-989-5959",
            "fax_number": "909-944-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST",
            "address_2": "SUITE 111",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301158",
            "telephone_number": "909-989-5959",
            "fax_number": "909-944-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEJA",
        "first_name": "SHARON",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Cecilia Masson, PHD
• Terrie Masten, MA CCC-SLP
• Mya Sayjah Mastrangelo-Baez
• Mabel Salvatierra Mata, LCSW
• Suzanne Elizabeth Mata
• Robert L Matheson, DENTIST
• Chadae Mathis
• Matta Botrous DDS Inc
• Destiny Mattingly
• Julie Mattingly, BCBA

• General Practice Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.