Active NPI
Matthew Scott Applebaum, D.M.D.
- Pediatric Dentistry
- Greensboro, NC
National Provider Identifier
1194834135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8275
- Practice address
- 5408 W Friendly Ave
Greensboro, NC 27410-4367 - Phone
- (336) 292-0411
- Fax
- (336) 292-9505
- NPI assigned
- Aug 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 21397 | MA | |
| Pediatric Dentistry | 1223P0221X | 22DI02305600 | NJ | |
| Pediatric Dentistry | 1223P0221X | 8275 | NC | Primary |
Addresses
Primary practice location
5408 W Friendly Ave
Greensboro, NC 27410-4367
Mailing address
5408 W Friendly Ave
Greensboro, NC 27410-4367
Phone (336) 292-0411
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 |
|---|---|---|---|
| 22DI02305600 | NJ | MD | Pediatric Dentist |
| 8275 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldenberg Pierce & Applebaum DDS PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Greensboro, NC
- NPI 1083643290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194834135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5408 W FRIENDLY AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104367",
"telephone_number": "336-292-0411",
"fax_number": "336-292-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 W FRIENDLY AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104367",
"telephone_number": "336-292-0411",
"fax_number": "336-292-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEBAUM",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "21397",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02305600",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "8275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- 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.