Thomas Kenneth Matsui, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

105042 Issued in CO

Practice address

1526 Cole Blvd
#120
Lakewood, CO 80401-3410

Phone

(303) 234-0505

Fax

(303) 234-0226

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Thomas Matsui, D.D.S., P.C.

  • General Practice Dentistry
  • Lakewood, CO
  • NPI 1891798690
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215152848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 COLE BLVD",
            "address_2": "#120",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013410",
            "telephone_number": "303-234-0505",
            "fax_number": "303-234-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 COLE BLVD",
            "address_2": "#120",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013410",
            "telephone_number": "303-234-0505",
            "fax_number": "303-234-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUI",
        "first_name": "THOMAS",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "105042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Matoba, O.D.
• Kirk Matoba, OD
• Robert Ken Matoba, O.D.
• Mats Medical Supply LLC.
• Kevin Alexander Matson
• Matt Trowbridge Counseling
• Alissa Matze
• Ian Matzkowitz, DDS
• Todd L Maus, MD
• Kate Maw, PT

• Dentist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dentist in Colorado

• 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.
• 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.