Active NPI
Dennis Mammen Mathew, MS CCC-SLP
- Speech-Language Pathologist
- Oklahoma City, OK
National Provider Identifier
1346474350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3452
- Practice address
- 9316 SW 23Rd St
Oklahoma City, OK 73128-1839 - Phone
- (405) 249-9646
- NPI assigned
- May 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3452 | OK | Primary |
Addresses
Primary practice location
9316 SW 23Rd St
Oklahoma City, OK 73128-1839
Mailing address
9316 SW 23Rd St
Oklahoma City, OK 73128-1839
Phone (405) 249-9646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3452 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1346474350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9316 SW 23RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731281839",
"telephone_number": "405-249-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9316 SW 23RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731281839",
"telephone_number": "405-249-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "DENNIS",
"middle_name": "MAMMEN",
"name_prefix": "Mr.",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.