Norman D Mathis, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0034877 Issued in CA

Practice address

508 Cajon St
Redlands, CA 92373-5904

Phone

(909) 793-2024

Fax

(909) 793-2026

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366651960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CAJON ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735904",
            "telephone_number": "909-793-2024",
            "fax_number": "909-793-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CAJON ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735904",
            "telephone_number": "909-793-2024",
            "fax_number": "909-793-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "NORMAN",
        "middle_name": "D",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "0034877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Masters, COTA
• Darlene Kristine Matejka McMorris, O.D.
• Christine Mathews, PSY.D
• Michael D. Mathey, D.C.
• Jana Mathieus
• Kai Lani Mathur
• James D Matiko, MD
• Pedram Matinsefat
• Michael Tetsuo Matsuda
• Jennifer Matsui

• General Practice Dentistry in Redlands, CA
• Providers in Redlands, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.