Active NPI
Dennis Matthew Pierce, D.D.S.
- Dentist
- Seymour, IN
National Provider Identifier
1104262005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12011941A
- Practice address
- 324 W 2ND St
Seymour, IN 47274-2199 - Phone
- (812) 522-8608
- NPI assigned
- May 17, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12011941A | IN | Primary |
Addresses
Primary practice location
324 W 2ND St
Seymour, IN 47274-2199
Mailing address
324 W 2ND St
Seymour, IN 47274-2199
Phone (812) 522-8608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160510001585 | IN | Order and Referring Only - Oral Surgery | 1951690205 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White River Family Dental and Implant Center | Current | Accepting new patients | |
| D Matthew Pierce DDS LLC | Current | Accepting new patients | |
| Monroe County Family Dental and Implant Center | Current | Accepting new patients | |
| Donald a. Cummings, D.D.S., P.C. | Past | Accepting new patients |
Locations
324 W 2nd St
Seymour, IN 47274
Phone (812) 522-8608
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Seymour, IN
- NPI 1275920761
-
- Dental Clinic/Center
- Indianapolis, IN
- NPI 1205332327
-
- Dental Clinic/Center
- Greenwood, IN
- NPI 1508471814
-
- General Practice Dentistry
- Seymour, IN
- NPI 1235341611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1104262005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 W 2ND ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742199",
"telephone_number": "812-522-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 W 2ND ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742199",
"telephone_number": "812-522-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "DENNIS",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-17",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011941A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.