Active NPI
Matthew Thomas Kaiser, DDS
- Dentist
- Canandaigua, NY
National Provider Identifier
1396581682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 65099
- Practice address
- 329 S Main St
Canandaigua, NY 14424-2118 - Phone
- (585) 394-1930
- NPI assigned
- Jul 5, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 65099 | NY | Primary |
Addresses
Primary practice location
329 S Main St
Canandaigua, NY 14424-2118
Mailing address
329 S Main St
Canandaigua, NY 14424-2118
Phone (585) 394-1930
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 |
|---|---|---|---|
| 65099 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salisbury Vamc | Current | Accepting new patients |
Locations
1695 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 515-5000
Interoperability endpoints
- mkaiser1194315@direct.unc.nchie.net
Organizations & group practices 1
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.
-
- Department of Veterans Affairs (VA) Pharmacy
- Kernersville, NC
- NPI 1982652723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1396581682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 S MAIN ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242118",
"telephone_number": "585-394-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 S MAIN ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242118",
"telephone_number": "585-394-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-05",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "65099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.