Matthew Paul Baronner, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041274 Issued in PA

Practice address

222 Rosedale Dr
Manchester, PA 17345-1023

Phone

(717) 266-3601

NPI assigned

Jul 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Amdent LTD

  dba American Dental Solutions

  • Dentist
  • Reading, PA
  • NPI 1578832796
  NPD (past)
• Merit Dental Inc.

  dba Merit Dental

  • General Practice Dentistry
  • Manchester, PA
  • NPI 1508109117
  NPD (past)
• Wheatlyn Dental Practice, LLP

  • General Practice Dentistry
  • Manchester, PA
  • NPI 1932253564
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1174045330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 WILLIAM PENN WAY",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016731",
            "telephone_number": "814-207-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROSEDALE DR",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "173451023",
            "telephone_number": "717-266-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARONNER",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Barr
• Todd Franklin Barron, M.D.
• Shady K Basta
• Stacey Basta, FNP-C
• Zachary Beam, O.D.

• General Practice Dentistry in Manchester, PA
• Providers in Manchester, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.