Organization Active NPI

Jayne M. Matt DDS SC

  • Dentist
  • Milwaukee, WI
National Provider Identifier
1184994659
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JAYNE M. MATT DDS SC
Practice address
2669 N Swan Blvd
Milwaukee, WI 53226-1800
Phone
(414) 258-2216
NPI assigned
Dec 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Jayne M Matt, DDS
Title
President
Phone
(414) 258-2216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2669 N Swan Blvd
Milwaukee, WI 53226-1800

Mailing address

2669 N Swan Blvd
Milwaukee, WI 53226-1800

National Provider Directory

National Provider Directory

Locations

2669 N Swan Blvd
Wauwatosa, WI 53226
Phone (414) 258-2216

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1184994659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 N SWAN BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 N SWAN BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261800",
            "telephone_number": "414-258-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYNE M. MATT DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "MATT",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-258-2216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.