Annie Philip Mathew, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7741 Issued in NC

Practice address

7780 Brier Creek Parkway
Suite 220
Raleigh, NC 27617-7316

Phone

(919) 786-7443

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164432324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 RICHMOND RUN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146413",
            "telephone_number": "919-562-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PARKWAY",
            "address_2": "SUITE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177316",
            "telephone_number": "919-786-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ANNIE",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7741",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045082",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02227600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Mathai
• Satish Mathan, M.D.
• Edward John Matheis, M.D.
• Sean Patrick Mather, PT
• Anil Mathen Mathew, D.M.D.
• Vinod Verghese Mathew, D.D.S.
• Carolyn E Mathiot, PTA
• Jason Mathis, COTA/L
• Kristen Malibu Mathis, R.N.
• Marisha Larae Mathis, LCSW

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.