Mathew Stafford, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401413585 Issued in VA

Practice address

151 Le Gordon Dr Ste 100
Midlothian, VA 23114-4333

Phone

(804) 379-9177

NPI assigned

Jun 6, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Matthew W Stafford DDS, PC

  • Dentist
  • Midlothian, VA
  • NPI 1891440103
  NPD
• Midlothian Dental Arts

  • General Practice Dentistry
  • Midlothian, VA
  • NPI 1881299162
  NPD

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1295096253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LE GORDON DR STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144333",
            "telephone_number": "804-379-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LE GORDON DR STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144333",
            "telephone_number": "804-379-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "MATHEW",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sprinkle
• Kristie Lee Sprouse, LPC
• Meredith Williams Squire, OTR
• St Francis Ambulatory Surgery Center LLC
• St Francis Emergency Associates Inc
• Sarah E. Stafford, PT, DPT
• Que'Nisha Kashaira Stallworth
• Dove Standley, PTA
• Angelina Stanford, PA
• Hashmatullah Stanickzai

• Dentist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.