Active NPI
Lela Danielle Matthes, D.D.S.
- Pediatric Dentistry
- New Braunfels, TX
National Provider Identifier
1346551108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 29846
- 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, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161107001458 | TX | Order and Referring Only - Other (Physician) | 8729366117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29846 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darling Smiles Pediatric Dentistry, LLC | Pediatric Dentistry | Current | 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.
-
dba Smile Pediatric Dental Care
- Pediatric Dentistry
- New Braunfels, TX
- NPI 1013515683
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.