Clinton Matkins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38701 Issued in TX

Practice address

102 Flag Lake Dr Ste C
Lake Jackson, TX 77566-6215

Phone

(713) 725-8172

NPI assigned

Aug 29, 2022

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

Practice roles

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.

• Bell & Crocker, LLC

  dba Bell Dental

  • Dentist
  • Lake Jackson, TX
  • NPI 1427452895
  NPD (past)
• Brian K Bell DDS PA

  • General Practice Dentistry
  • Lake Jackson, TX
  • NPI 1184738312
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1376263731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BENTWATER LN",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775311546",
            "telephone_number": "713-725-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FLAG LAKE DR STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666215",
            "telephone_number": "713-725-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATKINS",
        "first_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Enoc Martinez, M.D.
• Richard Martinez, DC
• Sreekar Maruvada, MD
• Robert Paul Massey II, DC
• Kaitlyn Adelle Matejowsky
• Christi M Matteck, RDH
• Maureen J Meehl Bipolar/BPD Founation (The Meehl Foundation)
• John A Maxwell, M.D.
• Max Carroll Mays, DDS
• Samantha B McCarey, NP

• General Practice Dentistry in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.