Pediatric Dentistry of Matthews

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4847 Issued in NC

Legal business name

PEDIATRIC DENTISTRY OF MATTHEWS

Practice address

1340 Matthews Township Pkwy
Suite 201
Matthews, NC 28105-5580

Phone

(704) 847-4717

NPI assigned

Jul 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trina Metheney

Title

Office Manager

Phone

(704) 847-4717

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott David Goodman, DDS

  • Pediatric Dentistry
  • Matthews, NC
  • NPI 1003929860
  NPD (past)
• Margaret E Lochary, DDS

  • Pediatric Dentistry
  • Matthews, NC
  • NPI 1548373319
  NPD (past)
• Jeffrey Daniel Monaco, DMD

  • Pediatric Dentistry
  • Matthews, NC
  • NPI 1790196822
  NPD (past)
• Jason D Sperati, DDS MS

  • Pediatric Dentistry
  • Matthews, NC
  • NPI 1649358078
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104845270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MATTHEWS TOWNSHIP PKWY",
            "address_2": "SUITE 201",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055580",
            "telephone_number": "704-847-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 MATTHEWS TOWNSHIP PKWY",
            "address_2": "SUITE 201",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055580",
            "telephone_number": "704-847-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF MATTHEWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METHENEY",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-847-4717"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "4847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890103X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasmeen Patterson, FNP-C
• Arianna Patton
• Natitia Paugh, LAC., LMBT
• Paul J. Alexander, D.D.S., P.a.
• Christopher Paul, DPT
• Genevieve Pelletreau, PHARMD
• Akshay Pendyal, M.D.
• Rafael Arturo Perez-Figaredo, M.D.
• Melissa A Perez, PA-C
• Performance Redefined

• Pediatric Dentistry in Matthews, NC
• Providers in Matthews, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.