Matthew Bryant, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2020023335 Issued in MO

Practice address

1355 E Bradford Pkwy
Springfield, MO 65804-4385

Phone

(417) 882-4600

Fax

(417) 882-1677

NPI assigned

Jul 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Burks & Bryant, LLC

  dba Ozark Mountain Periodontics

  • Periodontics
  • Springfield, MO
  • NPI 1407719859
  NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1396354809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 S MULBERRY AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658027849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E BRADFORD PKWY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044385",
            "telephone_number": "417-882-4600",
            "fax_number": "417-882-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020023335",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2020023335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay R Brunner, MSW, LCSW
• Arin M Brutlag, MA
• James E Bruton Jr., ATC
• Shara Bryan, FNP
• Susan Jean Bryan, MSN, RN, FNPC
• William Coleman Bryant, FNP
• Rebecca Lee Bryce, MSW, PLCSW
• Chad R Bryson, PLPC
• Denim Delainey Bryson, DO
• BSLC II (The Gardens)

• Periodontics in Springfield, MO
• Providers in Springfield, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.