Active NPI
Matthew Timothy Oshea, DDS
- General Practice Dentistry
- Decatur, GA
National Provider Identifier
1316974223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013128
- Practice address
- 755 Commerce Dr
Suite 520
Decatur, GA 30030-2627 - Phone
- (404) 373-7818
- Fax
- (404) 638-5115
- NPI assigned
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN013128 | GA | Primary |
Addresses
Primary practice location
755 Commerce Dr
Suite 520
Decatur, GA 30030-2627
Mailing address
755 Commerce Dr Ste 600
Decatur, GA 30030-2619
Phone (404) 373-7818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713002028 | GA | Order and Referring Only - Oral Surgery | 8224341730 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy J O'Shea DDS PA | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1316974223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 COMMERCE DR STE 600",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302619",
"telephone_number": "404-373-7818",
"fax_number": "404-638-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 COMMERCE DR",
"address_2": "SUITE 520",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302627",
"telephone_number": "404-373-7818",
"fax_number": "404-638-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSHEA",
"first_name": "MATTHEW",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2024-11-13",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.