Elizabeth Murayama Chavez Matias, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002424 Issued in WI

Practice address

2280 W Mason St
Green Bay, WI 54303-4707

Phone

(888) 988-4066

NPI assigned

Aug 30, 2017

Last updated

Sep 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Logan PDC PLLC

  dba Platinum Dental Care

  • General Practice Dentistry
  • Logan, UT
  • NPI 1457801078
  NPD
• Familia Dental Green Bay East LLC

  dba Familia Dental

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1194188706

  General Practice

  NPD (past)
• Familia Dental West Green Bay

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1588197149

  General Practice

  NPD (past)
• Central Ave Dental LLC

  dba Central Ave Dental

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1861846420
  NPD (past)
• Genmat, PA

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1396245775
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1144748070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E ALGONQUIN RD STE 610",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734166",
            "telephone_number": "888-988-4066",
            "fax_number": "847-496-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034707",
            "telephone_number": "888-988-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "66102",
            "country_code": "US",
            "telephone_number": "913-342-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "66102",
            "country_code": "US",
            "telephone_number": "913-342-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 E 200 N Ste 3",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843214049",
            "country_code": "US",
            "telephone_number": "435-752-3689",
            "fax_number": "435-514-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1931 Main St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543023920",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ MATIAS",
        "first_name": "ELIZABETH",
        "middle_name": "MURAYAMA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61494",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine A Chase, P.T.
• Rachel Marie Chastain, APNP
• Swati Chaudhari, MD
• Arbind Chaudhary, M.D.
• Rishi Chaudhuri, MD
• Sara Cheema, MD
• Dongmei Chen, M.D., PH.D
• Hsuan-Ling Chen, CRNA
• Xinqian Chen, MD
• Matthew D Cherney, DC

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.