Active NPI
Ajay Mathur, DDS
- Dentist
- San Mateo, CA
National Provider Identifier
1104495936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS106252
- Practice address
- 901 S El Camino Real
San Mateo, CA 94402-2311 - Phone
- (650) 375-1175
- NPI assigned
- Jun 24, 2021
- 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 | DDS106252 | CA | Primary |
Addresses
Primary practice location
901 S El Camino Real
San Mateo, CA 94402-2311
Mailing address
901 S El Camino Real
San Mateo, CA 94402-2311
Phone (650) 375-1175
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 |
|---|---|---|---|
| DDS106252 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth W Meirovitz DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Hayward, CA
- NPI 1114901139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1104495936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944022311",
"telephone_number": "650-375-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944022311",
"telephone_number": "650-375-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "AJAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS106252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.