Organization Active NPI

Matthew R Wirig, DMD, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1134425507
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-175 Issued in NV
Legal business name
MATTHEW R WIRIG, DMD, PC
Practice address
4610 Meadows LN Ste a
Las Vegas, NV 89107-2965
Phone
(702) 482-8299
Fax
(702) 822-1345
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Matthew Wirig, DMD
Title
Orthodontist
Phone
(702) 482-8299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X S3-175 NV Primary

Addresses

Primary practice location

4610 Meadows LN Ste a
Las Vegas, NV 89107-2965

Mailing address

4610 Meadows LN Ste a
Las Vegas, NV 89107-2965
Phone (702) 482-8299

National Provider Directory

National Provider Directory
Tax ID family
Matthew R Wirig DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4610 Meadows Ln
Ste A
Las Vegas, NV 89107
Phone (702) 454-1008

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1134425507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 MEADOWS LN STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072965",
            "telephone_number": "702-482-8299",
            "fax_number": "702-822-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 MEADOWS LN STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072965",
            "telephone_number": "702-482-8299",
            "fax_number": "702-822-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R WIRIG, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "WIRIG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "702-482-8299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.