Bradley Steven Matthes, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

2018017553 Issued in MO

Practice address

11710 Old Ballas Rd Ste 200
Creve Coeur, MO 63141-7076

Phone

(314) 989-9777

Fax

(314) 989-9779

NPI assigned

Aug 20, 2018

Last updated

May 13, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thomas M Matthes DDS PC

  dba st louis county prosthodontists

  • Dental Clinic/Center
  • Saint Louis, MO
  • NPI 1578741203
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1316427206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 OLD BALLAS RD STE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-989-9777",
            "fax_number": "314-989-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 OLD BALLAS RD STE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-989-9777",
            "fax_number": "314-989-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHES",
        "first_name": "BRADLEY",
        "middle_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2018017553",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MO",
            "license": "2018017553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Michelle Martinez, M.D.
• Krysta Shaye Maskey, FNP
• Sara Emma Massie
• Abigail Mather, MS, NCC, LPC
• Allen E Mathieu, PAC,ATC,MS
• Matthew Huetter DC PC
• Rose Mattli, NP
• Kathy C. Maupin, M.D.
• Rebecca Aku Mawuenyega, RPH
• Vanessa Susan Mays, O.T

• Prosthodontics in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Prosthodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.