Individual provider Active NPI

Matthew W Dover, D.D.S.

  • General Practice Dentistry
  • Cabot, AR
National Provider Identifier
1295963726
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3721 Issued in AR
Practice address
108 S 10TH St
Cabot, AR 72023-2820
Phone
(501) 843-7726
Fax
(501) 843-3561
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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 3721 AR Primary

Addresses

Primary practice location

108 S 10TH St
Cabot, AR 72023-2820

Mailing address

108 S 10TH St
Cabot, AR 72023-2820
Phone (501) 843-7726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20160519000581 AR Order and Referring Only - DentistPractitioner - Dentist 8820387590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dover Dental D.D.S., P.a. Dba Dover Family Dentistry Current Accepting new patients
Ryan C. Martin DMD PLLC General Practice Past Accepting new patients
Brian R. Holt, DDS PA General Practice Past Accepting new patients

Organizations & group practices 3

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1295963726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 10TH ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232820",
            "telephone_number": "501-843-7726",
            "fax_number": "501-843-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 10TH ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232820",
            "telephone_number": "501-843-7726",
            "fax_number": "501-843-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVER",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.