Active NPI
Whitney Willard Matteson, RDH
- Dental Hygienist
- Atlanta, GA
National Provider Identifier
1386387082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH006370
- Practice address
- 950 W Peachtree St NW
Atlanta, GA 30309-3846 - Phone
- (404) 381-8586
- NPI assigned
- Apr 19, 2022
- Last updated
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH006370 | GA | Primary |
Addresses
Primary practice location
950 W Peachtree St NW
Atlanta, GA 30309-3846
Mailing address
3818 Rainforest Cir
Peachtree Corners, GA 30092-2348
Phone (678) 724-6575
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH006370 | GA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1386387082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3818 RAINFOREST CIR",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922348",
"telephone_number": "678-724-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W PEACHTREE ST NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093846",
"telephone_number": "404-381-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTESON",
"first_name": "WHITNEY",
"middle_name": "WILLARD",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH006370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.