Active NPI
Thomas Matthews, D.M.D
- Dentist
- Ogden, UT
National Provider Identifier
1306095179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6635899
- Practice address
- 2711 N Hwy 89
Ste 100
Ogden, UT 84404-1205 - Phone
- (801) 737-5777
- Fax
- (801) 782-4674
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6635899 | UT | Primary |
Addresses
Primary practice location
2711 N Hwy 89
Ste 100
Ogden, UT 84404-1205
Mailing address
2711 N Hwy 89
Ste 100
Ogden, UT 84404-1205
Phone (801) 737-5777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6635899 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1306095179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 N HWY 89",
"address_2": "STE 100",
"city": "OGDEN",
"state": "UT",
"postal_code": "844041205",
"telephone_number": "801-737-5777",
"fax_number": "801-782-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 N HWY 89",
"address_2": "STE 100",
"city": "OGDEN",
"state": "UT",
"postal_code": "844041205",
"telephone_number": "801-737-5777",
"fax_number": "801-782-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "THOMAS",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "6635899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.