Matthew Gidaly, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10178 Issued in NC

Practice address

4079 Harris Square Dr
Harrisburg, NC 28075-5104

Phone

(704) 947-9991

NPI assigned

Oct 24, 2013

Sex

Male

Sole proprietor

No

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

Locations

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.

• Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC I

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Concord, NC
  • NPI 1851264188
  NPD Authorized official
• Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC III

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Harrisburg, NC
  • NPI 1740904341
  NPD Authorized official
• Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC VIII

  • Pediatric Dentistry
  • Harrisburg, NC
  • NPI 1255165205
  NPD Authorized official
• Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC IV

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mooresville, NC
  • NPI 1215664339
  NPD (past) Authorized official

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1376971564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 HARRIS SQUARE DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280755104",
            "telephone_number": "047-947-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4079 HARRIS SQUARE DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280755104",
            "telephone_number": "704-947-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Caldwell Dr",
            "address_purpose": "LOCATION",
            "city": "Warrior",
            "state": "AL",
            "postal_code": "351801407",
            "country_code": "US",
            "telephone_number": "205-647-3181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIDALY",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "10178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Gagina, MD
• Ashley Pendleton Gaines, MD
• Howard Colmus Gaines, PHARM D
• Ganglani DMD PLLC
• Chantel Nicole Garcia Tarbett, OD
• Lawrence Gill Jr.
• Arlene Blake Govan, LCAS-A
• Jalia Green
• Stephanie Gren
• Edward Lear Griffin

• Orthodontics and Dentofacial Orthopedics Dentistry in Harrisburg, NC
• Providers in Harrisburg, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.