Jeffrey J. Matthews, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5350-015 Issued in WI

Practice address

36220 Tower Dr
Whitehall, WI 54773-0005

Phone

(715) 538-1800

Fax

(715) 538-1805

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jmatthews438647@direct.gundersenhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whitehall Dental Center LLC

  • General Practice Dentistry
  • Whitehall, WI
  • NPI 1578215174
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316095409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547730005",
            "telephone_number": "715-538-1800",
            "fax_number": "715-538-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36220 TOWER DR",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547730005",
            "telephone_number": "715-538-1800",
            "fax_number": "715-538-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JEFFREY",
        "middle_name": "J.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5350-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shylana Larson, OTR/L
• Kristine Lee, RA
• Nicholas Lee
• Kimberley Lenning
• Caitlin Marie Luttropp, PA-C
• Paul Maulucci, NHA
• Julie J Meyers, APNC-APNP
• Douglas B Moericke, PA
• Kelly Isabel Mohr, P.T.
• Tanya Mudgett, NP

• General Practice Dentistry in Whitehall, WI
• Providers in Whitehall, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.

Verify at the official NPI Registry.