Active NPI
Matthew Charles Janda, DDS
- General Practice Dentistry
- Sterling, CO
National Provider Identifier
1104826759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4398
- Practice address
- 801 Iris Dr
Sterling, CO 80751-4740 - Phone
- (970) 522-4050
- Fax
- (970) 522-4067
- NPI assigned
- Jul 26, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4398 | CO | Primary |
Addresses
Primary practice location
801 Iris Dr
Sterling, CO 80751-4740
Mailing address
409 Melba Rd
Sterling, CO 80751-8609
Phone (970) 522-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02043982 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20150522000917 | CO | Order and Referring Only - Dentist | 5799005229 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4398 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pradera Dental, P.C. | Past | Accepting new patients | |
| Matthew C Janda, DDS | General Practice | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Sterling, CO
- NPI 1982247631
-
- Dental Clinic/Center
- Sterling, CO
- NPI 1447187141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104826759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 MELBA RD",
"city": "STERLING",
"state": "CO",
"postal_code": "807518609",
"telephone_number": "970-522-1888",
"fax_number": "970-522-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 IRIS DR",
"city": "STERLING",
"state": "CO",
"postal_code": "807514740",
"telephone_number": "970-522-4050",
"fax_number": "970-522-4067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANDA",
"first_name": "MATTHEW",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "4398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02043982",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.