Active NPI
Matthew Healy, D.D.S.
- Pediatric Dentistry
- Wichita, KS
National Provider Identifier
1093911513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 60502
- Practice address
- 3933 N. Maize Rd
ML 2006
Wichita, KS 67205-3039 - Phone
- (913) 220-8907
- NPI assigned
- Jun 22, 2007
- Last updated
- Aug 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2589 | OH | |
| Pediatric Dentistry | 1223P0221X | 60502 | KS | Primary |
Addresses
Primary practice location
3933 N. Maize Rd
ML 2006
Wichita, KS 67205-3039
Mailing address
1501 N Graystone St
Wichita, KS 67230-7245
Phone (913) 220-8907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60502 | KS | MD | Pediatric Dentist |
| 2589 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew R. Healy D.D.S., P.a. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Tiny Teeth Pediatric Dentistry
- Pediatric Dentistry
- Maize, KS
- NPI 1770014904
-
- Pediatric Dentistry
- Wichita, KS
- NPI 1679041644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1093911513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N GRAYSTONE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672307245",
"telephone_number": "913-220-8907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3933 N. MAIZE RD",
"address_2": "ML 2006",
"city": "WICHITA",
"state": "KS",
"postal_code": "672053039",
"telephone_number": "913-220-8907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "MATTHEW",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "2589",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KS",
"license": "60502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
- Healthy Options for Kansas Communities (Hop), Inc.
- Healthy Options for Planeview (Healthy Options for Kansas Communities (Hop))
- Healthy Strategies Family Doc. PA
- Healuna Therapy, LLC
- Emily Healy, APRN
- Patrick M Healy, MD
- Michael Heaney, MD
- Hearing Lab Technology LLC.
- Hearing Tools LLC (Hearing Group)
- Bernard F Hearon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.