Active NPI
Monica M Mattson, D.D.S.
- Dentist
- Greenbelt, MD
National Provider Identifier
1245447234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13433
- Practice address
- 28 Ridge Road
Greenbelt, MD 20770 - Phone
- (301) 474-4144
- Fax
- (301) 474-6231
- NPI assigned
- May 17, 2007
- Sex
- Female
- 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 | 13433 | MD | Primary |
Addresses
Primary practice location
28 Ridge Road
Greenbelt, MD 20770
Mailing address
2050 Bandy Avenue
Eldersburg, MD 21784
Phone (410) 573-0702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13433 | Other | MD | STATE OF MARYLAND LICENSE |
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 |
|---|---|---|---|
| 13433 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCarl Dental Group P.C. | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Greenbelt, MD
- NPI 1780892216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245447234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 BANDY AVENUE",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "21784",
"telephone_number": "410-573-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 RIDGE ROAD",
"city": "GREENBELT",
"state": "MD",
"postal_code": "20770",
"telephone_number": "301-474-4144",
"fax_number": "301-474-6231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTSON",
"first_name": "MONICA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MARYLAND LICENSE",
"identifier": "13433",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.