Active NPI
Ronald A. Matuson, DMD
- Dentist
- Hadley, MA
National Provider Identifier
1306835608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12723
- Practice address
- 138 Russell St
Hadley, MA 01035-9533 - Phone
- (413) 584-6275
- Fax
- (413) 584-5938
- NPI assigned
- Oct 19, 2005
- 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 | 12723 | MA | Primary |
Addresses
Primary practice location
138 Russell St
Hadley, MA 01035-9533
Mailing address
138 Russell St
Hadley, MA 01035-9533
Phone (413) 584-6275
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 835867 | Other | MA | UNITED CONCORDIA |
| X08513 | Other | MA | BLUECROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 12723 | MA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306835608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 RUSSELL ST",
"city": "HADLEY",
"state": "MA",
"postal_code": "010359533",
"telephone_number": "413-584-6275",
"fax_number": "413-584-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 RUSSELL ST",
"city": "HADLEY",
"state": "MA",
"postal_code": "010359533",
"telephone_number": "413-584-6275",
"fax_number": "413-584-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUSON",
"first_name": "RONALD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "12723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "835867",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "X08513",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.