Matthew L Pingel, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30.021882 Issued in OH

Practice address

1967 Newark Granville Rd
Granville, OH 43023-9172

Phone

(740) 587-7000

Fax

(740) 587-7004

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hensley Pediatric Dentistry, Inc.

  • Pediatric Dentistry
  • Dayton, OH
  • NPI 1447496476
  NPD (past)
• Womack Dayton Pediatric Dentistry Inc

  • Dentist
  • Dayton, OH
  • NPI 1710032305
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1275610743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239172",
            "telephone_number": "740-587-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239172",
            "telephone_number": "740-587-7000",
            "fax_number": "740-587-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGEL",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.021882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1641706",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2527886",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prit Patel, MD
• Radhika Patel, DMD
• Paul Johnson DMD LLC
• Darius Pearson
• Silas A Pearson
• McKenzie A. Povlinko, LPCC, MFT
• Procare Vision Centers Inc
• Raccoon Creek Senior Housing LLC
• Rebecca Joy Ramsay, LCSW
• Rea Medical, LLC

• Pediatric Dentistry in Granville, OH
• Providers in Granville, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.