Individual provider Active NPI

Matthew Fogg Tingey, DDS

  • Dentist
  • Gardner, KS
National Provider Identifier
1356627756
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60853 Issued in KS
Practice address
813 E Lincoln LN
Gardner, KS 66030-1594
Phone
(913) 938-4058
NPI assigned
Oct 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60853 KS Primary

Addresses

Primary practice location

813 E Lincoln LN
Gardner, KS 66030-1594

Mailing address

813 E Lincoln LN
Gardner, KS 66030-1594
Phone (801) 884-6665

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

LicenseStateTypeSpecialty
60853KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tingey Dentistry LLC Past Accepting new patients
State Avenue Dental LLC Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1319932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1356627756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E LINCOLN LN",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301594",
            "telephone_number": "801-884-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E LINCOLN LN",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301594",
            "telephone_number": "913-938-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGEY",
        "first_name": "MATTHEW",
        "middle_name": "FOGG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-30",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.