Jenny Mathews, DDS MS PHD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9222 Issued in CT

Practice address

131 Kings Hwy N
Westport, CT 06880-2439

Phone

(203) 227-8990

Fax

(203) 227-3975

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1295870111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802439",
            "telephone_number": "203-227-8990",
            "fax_number": "203-227-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802439",
            "telephone_number": "203-227-8990",
            "fax_number": "203-227-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "DDS MS PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "9222",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "049666-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Mason
• Fred Mason, RPH
• Robin Massa, RPH
• Susan Mastropietro, CD(DONA), CLC, CBE
• Nicholas Philip Matarazzo, M.D.
• Ellen Matteson, PA-C
• Matthew Love, Psy.D, LLC
• Cynthia R Mayer, PH.D.
• Karen Marie Mazzarese, LMFT
• Kathryn Zezima McCabe, LCSW

• Periodontics in Westport, CT
• Providers in Westport, CT by specialty
• Periodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.