Individual provider Active NPI

Matthew Scott Bryington, D.M.D., M.S.

  • Prosthodontics
  • Zephyrhills, FL
National Provider Identifier
1124336227
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN24770 Issued in FL
Practice address
37153 State Road 54
Zephyrhills, FL 33542-6935
Phone
(813) 788-0451
Fax
(813) 788-4190
NPI assigned
Sep 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 4066 WV
Prosthodontics 1223P0700X 30-023337 OH
Prosthodontics 1223P0700X DN013980 GA
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X DN24770 FL Primary

Addresses

Primary practice location

37153 State Road 54
Zephyrhills, FL 33542-6935

Mailing address

37153 State Road 54
Zephyrhills, FL 33542-6935
Phone (813) 788-0451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20160419001120 WV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436457827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN24770FLMDProsthodontist
DN013980GAMDProsthodontist
30-023337OHMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Bryington DMD Ms Facp PA CurrentSince Dec 12, 2021 Accepting new patients

Locations

37153 Pure Water Way
Zephyrhills, FL 33542
Phone (813) 788-0451

Organizations & group practices 1

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1124336227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37153 STATE ROAD 54",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426935",
            "telephone_number": "813-788-0451",
            "fax_number": "813-788-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37153 STATE ROAD 54",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426935",
            "telephone_number": "813-788-0451",
            "fax_number": "813-788-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYINGTON",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WV",
            "license": "4066",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30-023337",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "DN013980",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN24770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.