Matthew John Scheerhorn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5058 Issued in AZ

Practice address

5331 S Superstition Mountain Dr
Suite 108
Gold Canyon, AZ 85218-1921

Phone

(480) 671-7777

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114940913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18665 E ARROWHEAD TRAIL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852425553",
            "telephone_number": "480-358-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 S SUPERSTITION MOUNTAIN DR",
            "address_2": "SUITE 108",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852181921",
            "telephone_number": "480-671-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEERHORN",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D. Lancaster, MD, PC
• Jonathan David Rodis, LPC
• Patricia Ann Rossboro, RPH
• Virginia Soret Rowland, MD
• San Tan Cardiovascular Center, LLC
• Tanya Shadle, PT, DPT
• Jaymes Shaw
• Ashley Shonley, RN
• Scott Eric Sjoberg, RPH
• Angela Michelle Smith, A.N.P.

• General Practice Dentistry in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.