Individual provider Active NPI

Matthew Michael Artley, DDS

  • General Practice Dentistry
  • Lincoln Park, MI
National Provider Identifier
1144325713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19075 Issued in MI
Practice address
1359 Champaign
Lincoln Park, MI 48146-3303
Phone
(313) 386-9660
Fax
(313) 386-5515
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

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 19075 MI Primary

Addresses

Primary practice location

1359 Champaign
Lincoln Park, MI 48146-3303

Mailing address

413 Harbour Pointe Drive
Belleville, MI 48111-4467
Phone (734) 697-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20141210002457 MI Order and Referring Only - Oral SurgeryPractitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 4688996192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19075MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Galayda & Shackleford DDS PC General Practice Past Accepting new patients
The Dental Clinic PC General Practice Past 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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144325713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 HARBOUR POINTE DRIVE",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481114467",
            "telephone_number": "734-697-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 CHAMPAIGN",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463303",
            "telephone_number": "313-386-9660",
            "fax_number": "313-386-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTLEY",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

Verify at the official NPI Registry.