Matthew Inaba Pickron, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN22413 Issued in FL

Practice address

6476 Lake Worth Rd
Lake Worth, FL 33463

Phone

(404) 824-5190

NPI assigned

Oct 21, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• M I Pickron PA

  dba Simply Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenacres, FL
  • NPI 1841893062
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1326647215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NE 12TH TER APT 1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353264",
            "telephone_number": "404-824-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6476 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "404-824-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRON",
        "first_name": "MATTHEW",
        "middle_name": "INABA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN22413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplybracesfl@gmail.com",
            "affiliation": "N",
            "address_1": "6476 Lake Worth Rd",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Physicians Care Plus of Lake Worth
• Physicians Medical Associates, LLC
• Physicians Wellness Care Inc
• Physiotherapy Associates Inc (Physiotherapy Associates)
• Physiotherapy Associates Inc (Physiotherapy Associates-Wycliffe)
• Amy Elizabeth Pieczarka, R.D., L.D.N
• Jeff Pierre Louis
• Stephanie Pierre Louis
• Sonex Pierre-Gilles, PHARMD.
• Jean-Endy Pierre-Louis, ARNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.