Avinash Matha, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11742 Issued in MN

Practice address

707 Bielenberg Dr
Suite 101
Woodbury, MN 55125-1426

Phone

(651) 964-3747

NPI assigned

Apr 11, 2006

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

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.

Opted out of Medicare

Yes, effective Apr 19, 2016 through Apr 19, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Akshaan PLLC

  • Dentist
  • Woodbury, MN
  • NPI 1811392665
  NPD (past) Authorized official

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1306809082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 BIELENBERG DR",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251426",
            "telephone_number": "651-964-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BIELENBERG DR",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251426",
            "telephone_number": "651-964-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHA",
        "first_name": "AVINASH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Mae Maslowski
• Caroline A Mason, MD
• Rorra Charlotte Mast
• Peter M Matenaer, OTR/L
• Math and Science Academy
• Angela Clare Matheson, M.S.CCC-SLP
• Michelle Susan Mathison
• Matrxcare
• Christian Rich Matthews, MD
• Kathleen Mattson

• General Practice Dentistry in Woodbury, MN
• Providers in Woodbury, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.