Organization Active NPI

Matthew T. Ertl, D.M.D., P.C.

  • Dental Clinic/Center
  • Asheville, NC
National Provider Identifier
1225580392
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8680 Issued in NC
Legal business name
MATTHEW T. ERTL, D.M.D., P.C.
Practice address
1978 Hendersonville Rd
Suite 30
Asheville, NC 28803-7766
Phone
(828) 687-7271
Fax
(828) 475-1331
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Dr. Matthew Thomas Ertl, DMDNPI 1649428079
Title
Doctor/President
Phone
(828) 687-7271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8680 NC Primary

Addresses

Primary practice location

1978 Hendersonville Rd
Suite 30
Asheville, NC 28803-7766

Mailing address

398 Webb Cove Rd
Asheville, NC 28804-1933
Phone (828) 687-7271

Other names 1

  • Laurelwood Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1978 Hendersonville Rd
Ste 30
Asheville, NC 28803
Phone (828) 687-7271

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1225580392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 WEBB COVE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041933",
            "telephone_number": "828-687-7271",
            "fax_number": "828-475-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 HENDERSONVILLE RD",
            "address_2": "SUITE 30",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037766",
            "telephone_number": "828-687-7271",
            "fax_number": "828-475-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW T. ERTL, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "ERTL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "828-687-7271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "8680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurelwood Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.