NPIMap

Organization Active NPI

Matthew Mastrorocco DMD, PA

  • Dental Clinic/Center
  • Hilton Head, SC
National Provider Identifier
1114396629
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3732 Issued in SC
Legal business name
MATTHEW MASTROROCCO DMD, PA
Practice address
4101 Main St
Suite D
Hilton Head, SC 29926-4608
Phone
(843) 682-4601
Fax
(843) 682-4602
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Dr. Matthew Ryan Mastrorocco, DMDNPI 1598848889
Title
Dentist
Phone
(843) 682-4601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3732 SC Primary

Addresses

Primary practice location

4101 Main St
Suite D
Hilton Head, SC 29926-4608

Mailing address

4101 Main St
Suite D
Hilton Head, SC 29926-4608
Phone (843) 682-4601

National Provider Directory

National Provider Directory
Tax ID family
Matthew Mastrorocco DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1114396629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MAIN ST",
            "address_2": "SUITE D",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299264608",
            "telephone_number": "843-682-4601",
            "fax_number": "843-682-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MAIN ST",
            "address_2": "SUITE D",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299264608",
            "telephone_number": "843-682-4601",
            "fax_number": "843-682-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW MASTROROCCO DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "MASTROROCCO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-682-4601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.