Matthews PCC LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1856880 Issued in MA

Legal business name

MATTHEWS PCC LLC

Practice address

1984 Boston Rd
Wilbraham, MA 01095-1046

Phone

(413) 737-2200

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Robert Matthews, D.M.D

Title

Owner

Phone

(413) 737-2200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1275912339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BAIRDCREST RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181757",
            "telephone_number": "413-783-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951046",
            "telephone_number": "413-737-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS PCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-737-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1856880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Q Margolis
• Michael Jonathan Margolis, D.D.S., PH.D.
• Kaitlyn Sullivan Martin, LICSW
• Joeenthonie Martinez
• Kimberly Joyal Martins, MD
• Michael McCool, PA-C
• Estephany Mena Deleon
• Lisa None Merriweather, LICSW
• Mikhail Tsesis DDS PLLC
• Lisa A. Millett, P.T.

• Dental Clinic/Center in Wilbraham, MA
• Providers in Wilbraham, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.