Individual provider Active NPI

Matthew J Denti, D.O.

  • Obstetrics & Gynecology Physician
  • Clyde, NC
National Provider Identifier
1336157726
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2001-00858 Issued in NC
Practice address
35 Facility Dr
Clyde, NC 28721-9438
Phone
(828) 452-5042
Fax
(828) 452-9225
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0102201194 VA
Obstetrics & Gynecology Physician 207V00000X 9930 SD
Obstetrics & Gynecology Physician 207V00000X 2001-00858 NC Primary

Addresses

Primary practice location

35 Facility Dr
Clyde, NC 28721-9438

Mailing address

35 Facility Dr
Clyde, NC 28721-9438
Phone (828) 452-5042

Other practice location 1

277 White St NE
Abingdon, VA 24210-2913
Phone (276) 628-4335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, SD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050408000178 NC Practitioner - Obstetrics/Gynecology 9335186634 Reassigns benefits to 2 organizations
I20110505000130 VA Practitioner - Obstetrics/Gynecology 9335186634 Reassigns benefits to 2 organizations
I20160824002546 SD Practitioner - Obstetrics/Gynecology 9335186634 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1569WVMDMental Health Counselor
2001-00858NCMDObstetrics & Gynecology Physician
9930SDMDObstetrics & Gynecology Physician
0102201194VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
DLP Western Carolina Physician Practices LLC Obstetrics & Gynecology CurrentSince Jul 5, 2016 Accepting new patients
University of Virginia Physicians Group CurrentSince Sep 19, 2015 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jun 1, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jun 1, 2017 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Sanford Health Network CurrentSince Sep 7, 2021 Accepting new patients
Appalachian Regional Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Jul 14, 2023 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Jul 5, 2016 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

381 Deerfield Rd
Boone, NC 28607
Phone (828) 268-8970

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

35 Facility Dr
Clyde, NC 28721
Phone (828) 452-5042

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

16000 Johnston Memorial Dr
Ste 200
Abingdon, VA 24211
Phone (276) 258-1000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • Direct secure messaging: mdenti740623@direct.unc.nchie.net

Organizations & group practices 10

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1336157726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FACILITY DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219438",
            "telephone_number": "828-452-5042",
            "fax_number": "828-452-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 FACILITY DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219438",
            "telephone_number": "828-452-5042",
            "fax_number": "828-452-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 White St NE",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102913",
            "country_code": "US",
            "telephone_number": "276-628-4335",
            "fax_number": "276-628-3195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTI",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102201194",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "9930",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2001-00858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.