Victoria Simone Mathis, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS8905 Issued in TN

Practice address

5124 Stage Rd
Suite C2
Memphis, TN 38134-3164

Phone

(901) 373-5433

Fax

(901) 373-7322

NPI assigned

Aug 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Victoria Simone Rice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1245488576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 STAGE RD",
            "address_2": "SUITE C2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343164",
            "telephone_number": "901-373-5433",
            "fax_number": "901-373-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 STAGE RD",
            "address_2": "SUITE C2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343164",
            "telephone_number": "901-373-5433",
            "fax_number": "901-373-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "VICTORIA",
        "middle_name": "SIMONE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "RICE",
            "middle_name": "SIMONE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tricia Grace Mathew, MD
• Dennis E Mathews, OD
• Christopher L Mathis, MD
• Elizabeth Mathis, MS, BCBA, LBA
• Kamri Mathis, MSN,APRN, FNP-C
• David Paul Matichak, MD
• Crystal Corona Matira
• Lillie Matlock
• Matrix
• Matrix Medical Network of Tennessee, PC

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.