Individual provider Active NPI

Daina K. Matas, D.D.S.

  • General Practice Dentistry
  • Brecksville, OH
National Provider Identifier
1134130420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19482 Issued in OH
Practice address
7650 Chippewa Rd
Suite #208
Brecksville, OH 44141-2316
Phone
(440) 526-1422
NPI assigned
Aug 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
General Practice Dentistry 1223G0001X 19482 OH Primary

Addresses

Primary practice location

7650 Chippewa Rd
Suite #208
Brecksville, OH 44141-2316

Mailing address

7650 Chippewa Rd
Suite #208
Brecksville, OH 44141-2316
Phone (440) 526-1422

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19482OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134130420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 CHIPPEWA RD",
            "address_2": "SUITE #208",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412316",
            "telephone_number": "440-526-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 CHIPPEWA RD",
            "address_2": "SUITE #208",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412316",
            "telephone_number": "440-526-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAS",
        "first_name": "DAINA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

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.