Chad D Matone DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3574 Issued in AR

Legal business name

CHAD D MATONE DDS PA

Doing business as

Malvern Dental Center

Practice address

230 Pine Bluff St
Malvern, AR 72104-4228

Phone

(501) 337-4908

Fax

(501) 337-9929

NPI assigned

Jan 10, 2013

Last updated

Feb 15, 2019By 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. Chad D Matone, D.D.S

Title

Owner

Phone

(901) 490-1293

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Malvern Dental Center Doing business as

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.

• David L Brewer, DDS

  • Dentist
  • Malvern, AR
  • NPI 1942312228
  NPD (past)
• Matthew Woods

  • General Practice Dentistry
  • Pine Bluff, AR
  • NPI 1457880361
  NPD (past)

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1245577329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PINE BLUFF ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044228",
            "telephone_number": "501-337-4908",
            "fax_number": "501-337-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PINE BLUFF ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044228",
            "telephone_number": "501-337-4908",
            "fax_number": "501-337-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD D MATONE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "MATONE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-490-1293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164408608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHEILD",
            "identifier": "5Y893",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malvern Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Malvern Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Lynn Carnahan, CCR, DSP
• Lisa Carol Carpenter, LPC
• Mary Ann Carthan, RN
• Desirae D Cavaness, RECOVERY ASSISTANT
• Central Arkansas Development Council (Head Start)
• Kristin Lee Chaffee, MD, MPH
• Melissa Chambers, LPC
• A Chapman
• Danyelle Christopher, APRN
• Martha Clampit

• General Practice Dentistry in Malvern, AR
• Providers in Malvern, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.