Individual provider Active NPI

Matthew Bayless, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring Branch, TX
National Provider Identifier
1215035571
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22467 Issued in TX
Practice address
19750 State Highway 46 W Ste 105
Spring Branch, TX 78070-6881
Phone
(830) 438-2193
Fax
(830) 438-2196
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22467 TX Primary

Addresses

Primary practice location

19750 State Highway 46 W Ste 105
Spring Branch, TX 78070-6881

Mailing address

19750 State Highway 46 W Ste 105
Spring Branch, TX 78070-6881
Phone (830) 438-2193

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

LicenseStateTypeSpecialty
22467TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Summer Hill Dental PC General Practice Current Accepting new patients
Matthew W Bayless DDS PC General Practice Current Accepting new patients

Locations

19750 State Highway 46 W
Ste 105
Spring Branch, TX 78070
Phone (830) 438-2193

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1215035571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19750 STATE HIGHWAY 46 W STE 105",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706881",
            "telephone_number": "830-438-2193",
            "fax_number": "830-438-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19750 STATE HIGHWAY 46 W STE 105",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706881",
            "telephone_number": "830-438-2193",
            "fax_number": "830-438-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.