Active NPI
Jeffrey W Mathews, D.D.S
- Dentist
- Goodlettsville, TN
National Provider Identifier
1265705644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000009294
- Practice address
- 919 Conference Dr Ste 5
Goodlettsville, TN 37072-1924 - Phone
- (615) 855-0087
- Fax
- (615) 855-0078
- NPI assigned
- Feb 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | DS0000009294 | TN | Primary |
Addresses
Primary practice location
919 Conference Dr Ste 5
Goodlettsville, TN 37072-1924
Mailing address
919 Conference Dr Ste 5
Goodlettsville, TN 37072-1924
Phone (615) 855-0087
Other practice location 1
1523 S Highland Ave
Jackson, TN 38301-7520
Phone (901) 237-5392
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 |
|---|---|---|---|
| DS0000009294 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodlettsville Cosmetic Dentistry PLLC | Current | Accepting new patients | |
| Jeffrey W Mathews DDS PLLC | Dentist | Current | Accepting new patients |
Locations
919 Conference Dr
Ste 5
Goodlettsville, TN 37072
Phone (615) 851-1777
Organizations & group practices 2
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
- Goodlettsville, TN
- NPI 1902655087
-
- General Practice Dentistry
- Goodlettsville, TN
- NPI 1871462291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1265705644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 CONFERENCE DR STE 5",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721924",
"telephone_number": "615-855-0087",
"fax_number": "615-855-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 CONFERENCE DR STE 5",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721924",
"telephone_number": "615-855-0087",
"fax_number": "615-855-0078"
}
],
"practiceLocations": [
{
"address_1": "1523 S Highland Ave",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383017520",
"country_code": "US",
"telephone_number": "901-237-5392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEWS",
"first_name": "JEFFREY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-16",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000009294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.