Individual provider Active NPI

Lela Danielle Matthes, D.D.S.

  • Pediatric Dentistry
  • New Braunfels, TX
National Provider Identifier
1346551108
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
29846 Issued in TX
Practice address
385 Landa St Ste B
New Braunfels, TX 78130-5439
Phone
(830) 327-7007
NPI assigned
Jun 27, 2010
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 29846 TX Primary

Addresses

Primary practice location

385 Landa St Ste B
New Braunfels, TX 78130-5439

Mailing address

385 Landa St Ste B
New Braunfels, TX 78130-5439
Phone (830) 327-7007

Other practice location 1

1026 E Wheatland Rd
Duncanville, TX 75116-4914
Phone (972) 296-1835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107001458 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8729366117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29846TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Darling Smiles Pediatric Dentistry, LLC Pediatric Dentistry CurrentSince Oct 19, 2020 Accepting new patients

Locations

385 Landa St
Ste B
New Braunfels, TX 78130
Phone (830) 327-7007

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1346551108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 LANDA ST STE B",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305439",
            "telephone_number": "830-327-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 LANDA ST STE B",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305439",
            "telephone_number": "830-327-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 E Wheatland Rd",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164914",
            "country_code": "US",
            "telephone_number": "972-296-1835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHES",
        "first_name": "LELA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-27",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.