Active NPI
Mateer Orthodontics PC
- Community/Behavioral Health Agency
- Commack, NY
National Provider Identifier
1144698762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 054930
- Legal business name
- MATEER ORTHODONTICS PC
- Practice address
- 66 Commack Rd Ste 102
Commack, NY 11725-3405 - Phone
- (631) 462-1970
- NPI assigned
- Sep 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Mateer
- Title
- Owner
- Phone
- (631) 462-1970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 054930 | NY | Primary |
Addresses
Primary practice location
66 Commack Rd Ste 102
Commack, NY 11725-3405
Mailing address
66 Commack Rd Ste 102
Commack, NY 11725-3405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04146049 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
66 Commack Rd
Ste 102
Commack, NY 11725
Phone (631) 462-1970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Massapequa, NY
- NPI 1205188547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442188800000",
"number": "1144698762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 COMMACK RD STE 102",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 COMMACK RD STE 102",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253405",
"telephone_number": "631-462-1970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATEER ORTHODONTICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-14",
"status": "A",
"authorized_official_last_name": "MATEER",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-462-1970",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "054930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04146049",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.