Active NPI
Ramzi Matar, DMD
- General Practice Dentistry
- Winter Park, FL
National Provider Identifier
1356562953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN16779
- Practice address
- 731 West Morse Blvd.
Winter Park, FL 32789 - Phone
- (407) 647-2464
- Fax
- (407) 647-8168
- NPI assigned
- May 1, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN16779 | FL | Primary |
Addresses
Primary practice location
731 West Morse Blvd.
Winter Park, FL 32789
Mailing address
731 West Morse Blvd.
Winter Park, FL 32789
Phone (407) 644-0177
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16779 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jon S Wilkins, D.D.S., P.a. | Past | Accepting new patients | |
| R Mark Matar DMD PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Winter Park, FL
- NPI 1720607229
-
- Prosthodontics
- Winter Park, FL
- NPI 1053425835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1356562953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 WEST MORSE BLVD.",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-644-0177",
"fax_number": "407-647-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 WEST MORSE BLVD.",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-647-2464",
"fax_number": "407-647-8168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATAR",
"first_name": "RAMZI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN16779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.