Matthew a Monaco DDS,LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MATTHEW A MONACO DDS,LLC

Doing business as

Meridian Park Oral Surgery

Practice address

3465 E Meridian Park Loop
Suite a
Wasilla, AK 99654-7264

Phone

(907) 373-6670

Fax

(908) 312-2525

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Monaco, DDSNPI 1235131392

Title

Owner

Phone

(907) 373-6670

Specialties & licenses 1

Addresses

Other names 1

• Meridian Park Oral Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Anthony Monaco, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Wasilla, AK
  • NPI 1235131392
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Chavarria

  • Oral and Maxillofacial Surgery (Dentist)
  • Wasilla, AK
  • NPI 1457970394
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1235679515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 E MERIDIAN PARK LOOP",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547264",
            "telephone_number": "907-373-6670",
            "fax_number": "908-312-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 E MERIDIAN PARK LOOP",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547264",
            "telephone_number": "907-373-6670",
            "fax_number": "908-312-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A MONACO DDS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "MONACO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-373-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Park Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mat-Su Valley Medical Center LLC (Mat-Su Regional Home Care)
• Kayla Mathiowetz, MS, CCC-SLP
• Farah Matlock
• Rhonda Lea Matlock
• Matt a. Heilala, DPM Inc. (Alaska Foot & Ankle Specialists)
• Amanda Joan Matthews
• John David Matthews, RN
• Junayzha Annemarie Pamela Matthews
• Kathleen J Matthews, ANP
• Arianna Mattila

• Oral and Maxillofacial Surgery (Dentist) in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.