Treasa Mathew, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855964 Issued in MA

Practice address

45 Newport Ave
Quincy, MA 02171-2610

Phone

(617) 773-9902

NPI assigned

May 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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.

• Sunny Smile IX Inc

  • General Practice Dentistry
  • Plymouth, MA
  • NPI 1457047672
  NPD (past)
• Taylor Dental Associates PC

  • General Practice Dentistry
  • Plymouth, MA
  • NPI 1043720675
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1205197720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COLONY PLACE RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607233",
            "telephone_number": "508-830-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NEWPORT AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712610",
            "telephone_number": "617-773-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "TREASA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE COMMONWEALTH OF MASSACHUSETTS HEALTH PROFESSIONS LICENSURE",
            "identifier": "DN1855964",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian D. Massey, PH.D.
• Taheera Massey, MS
• Stephen J. Matarazzo, D.M.D.
• Steven B Matfis, M.D.
• Hannah Marie Mather, MA
• Asjah Mathis
• Mattick Behavioral Health Services Inc
• Brenda M Maxim
• Allison May, OTRL
• Mayflower Audiology, LLC

• General Practice Dentistry in Quincy, MA
• Providers in Quincy, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.