Joshua D Mathis DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6400 Issued in AL

Legal business name

JOSHUA D MATHIS DDS LLC

Practice address

2311 Bent Creek Rd.
Ste 500
Auburn, AL 36830

Phone

(918) 852-4854

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Dale Mathis, DDSNPI 1487183117

Title

Owner Dentist

Phone

(918) 852-4854

Specialties & licenses 1

Addresses

Other names 1

• Bent Creek Dental Doing business as

Locations

Practitioners 1

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

• Joshua Dale Mathis, DDS

  • Dentist
  • Montgomery, AL
  • NPI 1487183117
  NPD Authorized official

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1386121473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 PETRIE RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 BENT CREEK RD.",
            "address_2": "STE 500",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "918-852-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA D MATHIS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "918-852-4854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "6400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bent Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bent Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Grace Jones, PHARMD
• Vincent N Jones, PHARM.D.
• Ashley Jordan, LCSW, PIP
• Joseph Kyle Donaghey,DMD,LLC
• Bhavesh Joshi, D.O.
• Ursula Andree Laville Judd, DO
• Julie F. Kaetz, M.S.
• Sainath Arvind Kamath, PHARMD
• Silvia Wahu Kamau
• Kristina Lynne Kamburis, PA-C

• Dental Clinic/Center in Auburn, AL
• Providers in Auburn, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.