Individual provider Active NPI

Victor Andres Matute, D.D.S.

  • General Practice Dentistry
  • Greenacres, FL
National Provider Identifier
1275733149
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12842 Issued in FL
Practice address
6685 Forest Hill Blvd Ste 201
Greenacres, FL 33413-3356
Phone
(561) 568-6112
Fax
(305) 985-5246
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12842 FL Primary

Addresses

Primary practice location

6685 Forest Hill Blvd Ste 201
Greenacres, FL 33413-3356

Mailing address

6685 Forest Hill Blvd Ste 201
Greenacres, FL 33413-3356
Phone (561) 568-6112

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

LicenseStateTypeSpecialty
12842FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Macron Dental Care Current Accepting new patients

Locations

6685 Forest Hill Blvd
Ste 201
Greenacres, FL 33413
Phone (561) 432-5101

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1275733149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6685 FOREST HILL BLVD STE 201",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133356",
            "telephone_number": "561-568-6112",
            "fax_number": "305-985-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6685 FOREST HILL BLVD STE 201",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133356",
            "telephone_number": "561-568-6112",
            "fax_number": "305-985-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUTE",
        "first_name": "VICTOR",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "12842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.