James I Matia DDS MSD Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30016314 Issued in OH

Legal business name

JAMES I MATIA DDS MSD INC

Practice address

1706 Beall Ave
Wooster, OH 44691-2378

Phone

(330) 264-5851

Fax

(330) 264-5027

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Irwin Matia, DDS MSDNPI 1083782387

Title

Owner

Phone

(330) 264-5851

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Irwin Matia, DDS MSD

  • Periodontics
  • Wooster, OH
  • NPI 1083782387
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1376611673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912378",
            "telephone_number": "330-264-5851",
            "fax_number": "330-264-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912378",
            "telephone_number": "330-264-5851",
            "fax_number": "330-264-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES I MATIA DDS MSD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "MATIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-264-5851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30016314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Renee Jackson, AAS, QMHS
• Anthony Jacobs
• Janaki Srivathsan Jagannathan, QMHS-HS
• Fatma Jama
• Nafiso Jamale, MSW
• Karmon Leigh James, MD
• Samantha James
• Thomas Benedict Janas, P.A. - C
• Petr Janousek
• Alicia Jarvis

• Periodontics in Wooster, OH
• Providers in Wooster, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.