Individual provider Active NPI

Matthew Brian Monesmith, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Jasper, IN
National Provider Identifier
1285771980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12009137 Issued in IN
Practice address
2005 Saint Charles St
Suite #2
Jasper, IN 47546-9146
Phone
(812) 482-2280
Fax
(812) 482-4218
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12009137 IN Primary

Addresses

Primary practice location

2005 Saint Charles St
Suite #2
Jasper, IN 47546-9146

Mailing address

2005 Saint Charles St
Suite #2
Jasper, IN 47546-9146
Phone (812) 482-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000335 IN Practitioner - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Other (Physician) 0042264616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Indiana University School of Dentistry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monesmith and Wood Oral and Maxillofacial Surgery PCGroup PAC ID 5496709149, 2 clinicians

Practice addresses (Care Compare)

2005 Saint Charles St
Jasper, IN 47546-2270
Phone (812) 482-2280

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009137INMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Monesmith & Wood Oral and Maxillofacial Surgery PC Oral and Maxillofacial Surgery CurrentSince Jan 1, 1999 Accepting new patients

Locations

2005 Saint Charles St
#B
Jasper, IN 47546
Phone (812) 482-2280

721 W 13th St
Ste 221
Jasper, IN 47546
Phone (812) 482-2280

2005 Saint Charles St
Ste 2
Jasper, IN 47546
Phone (812) 482-2280

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285771980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST",
            "address_2": "SUITE #2",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469146",
            "telephone_number": "812-482-2280",
            "fax_number": "812-482-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST",
            "address_2": "SUITE #2",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469146",
            "telephone_number": "812-482-2280",
            "fax_number": "812-482-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONESMITH",
        "first_name": "MATTHEW",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12009137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.