Individual provider Active NPI

Matthew Edward Pia, D.D.S.

  • Dentist
  • Madera, CA
National Provider Identifier
1124010046
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43724 Issued in CA
Practice address
37144 Avenue 12
Madera, CA 93638-8709
Phone
(559) 645-5320
Fax
(559) 645-4773
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 43724 CA Primary

Addresses

Primary practice location

37144 Avenue 12
Madera, CA 93638-8709

Mailing address

37144 Avenue 12
Madera, CA 93638-8709
Phone (559) 645-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43724CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chad J. Anderson Dental Corporation Dentist Past Accepting new patients
Timothy Prewitt DDS Inc PastSince Mar 12, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124010046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37144 AVENUE 12",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388709",
            "telephone_number": "559-645-5320",
            "fax_number": "559-645-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37144 AVENUE 12",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388709",
            "telephone_number": "559-645-5320",
            "fax_number": "559-645-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIA",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.