Active NPI
Michael R Matson DDS, Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Manteca, CA
National Provider Identifier
1154552685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 23538
- Legal business name
- MICHAEL R MATSON DDS, INC
- Practice address
- 1509 W Yosemite Ave Ste B
Manteca, CA 95337-5165 - Phone
- (209) 832-9346
- NPI assigned
- Jul 31, 2009
- 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
- Mrs. Marilyn Jean Everett
- Title
- Office Manager
- Phone
- (209) 823-9346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 23538 | CA | Primary |
Addresses
Primary practice location
1509 W Yosemite Ave Ste B
Manteca, CA 95337-5165
Mailing address
1509 W Yosemite Ave Ste B
Manteca, CA 95337-5165
Phone (209) 832-9346
National Provider Directory
National Provider DirectoryLocations
1509 W Yosemite Ave
Ste B
Manteca, CA 95337
Phone (209) 823-9346
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Manteca, CA
- NPI 1194811778
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Manteca, CA
- NPI 1962534339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248998400000",
"number": "1154552685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 W YOSEMITE AVE STE B",
"city": "MANTECA",
"state": "CA",
"postal_code": "953375165",
"telephone_number": "209-832-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 W YOSEMITE AVE STE B",
"city": "MANTECA",
"state": "CA",
"postal_code": "953375165",
"telephone_number": "209-832-9346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL R MATSON DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-31",
"last_updated": "2009-07-31",
"status": "A",
"authorized_official_last_name": "EVERETT",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "209-823-9346",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "23538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.