Thomas S Matteucci DDS LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THOMAS S MATTEUCCI DDS LTD

Practice address

2764 Lake Sahara Dr Ste 107
Las Vegas, NV 89117-3400

Phone

(702) 365-6499

Fax

(702) 221-8465

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Matteucci, DMDNPI 1972899391

Title

President

Phone

(702) 365-6499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Matteucci Family Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Matthew Thomas Matteucci, DMD

  • Dentist
  • Las Vegas, NV
  • NPI 1972899391
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1114679750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 LAKE SAHARA DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173400",
            "telephone_number": "702-365-6499",
            "fax_number": "702-221-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 LAKE SAHARA DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173400",
            "telephone_number": "702-365-6499",
            "fax_number": "702-221-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS S MATTEUCCI DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "MATTEUCCI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-365-6499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972899391",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MatteucciFamilydental@yahoo.com",
            "affiliation": "N",
            "address_1": "2764 Lake Sahara Dr Ste 107",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891173400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Matteucci Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Thomas S Kintonis DDS
• Thomas T Chen, MD, LTD
• Leigh Marie Thomas Tarry
• Thomas Trinh DDS LTD
• Thomas Umbach MD PC
• Thomas Yee, M.D. P.C.

• Dental Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.