Stephen McKown Matthews, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014735 Issued in MO

Practice address

200 Health Way Dr
Suite 1
Potosi, MO 63664-1434

Phone

(573) 436-0300

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MO

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

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225199342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SELMA AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631194166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH WAY DR",
            "address_2": "SUITE 1",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641434",
            "telephone_number": "573-436-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "STEPHEN",
        "middle_name": "MCKOWN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Klemm, D.O.
• Edward William Lake, DDS
• Carolyn Coyne Maryan
• Christopher Ryan Massey, MSW, LCSW
• Heather Renee Mathieson, PLPC
• Tiara Michele McCarthy
• Judith McCaul, PNP
• Jensen Ryan McGinness, LPC
• Tommi McMahan
• Nancy Lee McNail, PMHNP

• General Practice Dentistry in Potosi, MO
• Providers in Potosi, MO by specialty
• General Practice Dentistry in Missouri

• 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.