Active NPI
Matthew Sievers
- Dentist
- Cambridge, MN
National Provider Identifier
1215209168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D12535
- Practice address
- 140 Birch St N Ste 106
Cambridge, MN 55008-1547 - Phone
- (763) 689-3134
- NPI assigned
- Feb 7, 2012
- Last updated
- Feb 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D12535 | MN | Primary |
Addresses
Primary practice location
140 Birch St N Ste 106
Cambridge, MN 55008-1547
Mailing address
140 Birch St N Ste 106
Cambridge, MN 55008-1547
Phone (763) 689-3134
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 |
|---|---|---|---|
| D12535 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Orthodontics PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cambridge, MN
- NPI 1124244603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1215209168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BIRCH ST N STE 106",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550081547",
"telephone_number": "763-689-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 BIRCH ST N STE 106",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550081547",
"telephone_number": "763-689-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEVERS",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D12535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.