Active NPI
Norbert A Matulis, DDS
- Dentist
- Saint John, IN
National Provider Identifier
1154397057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7043
- Practice address
- 9207 Wicker Avenue
St John, IN 46373 - Phone
- (219) 365-8696
- Fax
- (219) 365-2121
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7043 | IN | Primary |
Addresses
Primary practice location
9207 Wicker Avenue
St John, IN 46373
Mailing address
9207 Wicker Avenue
St John, IN 46373
Phone (219) 365-8696
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7043 | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154397057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9207 WICKER AVENUE",
"city": "ST JOHN",
"state": "IN",
"postal_code": "46373",
"telephone_number": "219-365-8696",
"fax_number": "219-365-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9207 WICKER AVENUE",
"city": "ST JOHN",
"state": "IN",
"postal_code": "46373",
"telephone_number": "219-365-8696",
"fax_number": "219-365-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATULIS",
"first_name": "NORBERT",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "7043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint John, IN
- James Ethan Maciejewski, DPT
- Nikhil Malik, P.T., C.E.A.S.
- Philip James Mangiaracina, DMD
- Ruba Mansour
- Dorothy Maria Mason, SLP
- Charles T. McCarroll, D.D.S.
- Brooke McDermott, MD
- Allison M McLeish, DPT
- Medical Specialists Inc., PC (Medical Specialists & Child Life Center)
- Metropolitan Eyecare Center of St. John
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.