Individual provider Active NPI

Matthew Jon Meyer, DMD

  • Dentist
  • Huntington, NY
National Provider Identifier
1376136549
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
062747 Issued in NY
Practice address
205 E Main St Ste 1-1
Huntington, NY 11743-7934
Phone
(631) 421-1818
NPI assigned
Feb 18, 2021
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 062747 NY Primary

Addresses

Primary practice location

205 E Main St Ste 1-1
Huntington, NY 11743-7934

Mailing address

7 W 45TH St FL 2
New York, NY 10036-4921
Phone (212) 382-3782

Other practice location 1

7 W 45th St Fl 2
New York, NY 10036-4921
Phone (212) 382-3782

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
062747NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Smiles Dental of Huntington PLLC Dentist CurrentSince Feb 15, 2026 Accepting new patients
Sandip Sachar DDS PC Dentist PastSince Nov 24, 2024 Accepting new patients
Chase Dental Care of Manhattan PastSince Sep 20, 2022 Accepting new patients
Koppelman Dental Dentist PastSince Sep 20, 2022 Accepting new patients

Locations

205 E Main St
Ste 1-1
Huntington, NY 11743
Phone (631) 421-1818

Organizations & group practices 4

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1376136549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W 45TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364921",
            "telephone_number": "212-382-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST STE 1-1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437934",
            "telephone_number": "631-421-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 W 45th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100364921",
            "country_code": "US",
            "telephone_number": "212-382-3782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MATTHEW",
        "middle_name": "JON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "062747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.