Individual provider Active NPI

Matthew Watson Horne, DDS

  • General Practice Dentistry
  • West Lake Hills, TX
National Provider Identifier
1215068077
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21136 Issued in TX
Practice address
3345 Bee Caves Rd Ste 102B
West Lake Hills, TX 78746-5463
Phone
(512) 329-5250
Fax
(512) 329-5068
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21136 TX Primary

Addresses

Primary practice location

3345 Bee Caves Rd Ste 102B
West Lake Hills, TX 78746-5463

Mailing address

3345 Bee Caves Rd Ste 102B
West Lake Hills, TX 78746-5463
Phone (512) 329-5250

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
21136TXMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1215068077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BEE CAVES RD STE 102B",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465463",
            "telephone_number": "512-329-5250",
            "fax_number": "512-329-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BEE CAVES RD STE 102B",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465463",
            "telephone_number": "512-329-5250",
            "fax_number": "512-329-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "MATTHEW",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.