Matthew Bridwell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3727 Issued in AR

Practice address

1310 S Rock St Ste 1
Sheridan, AR 72150-7223

Phone

(870) 942-4444

Fax

(870) 942-4454

NPI assigned

Jul 24, 2009

Last updated

Sep 19, 2012By the provider in NPPES

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1407086366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S ROCK ST STE 1",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507223",
            "telephone_number": "870-942-4444",
            "fax_number": "870-942-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S ROCK ST STE 1",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507223",
            "telephone_number": "870-942-4444",
            "fax_number": "870-942-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDWELL",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blayne Ellis Beene, DO
• Bethel Burris Oliver PLLC (Arkansas Dentistry and Braces)
• BHC Pinnacle Pointe Hospital (The Pointe Outpatient Behavioral Health Services/The Pointe-Sheridan)
• Kayla Blocker, LPC
• Jennifer Lynn Bradshaw, CCC-SLP
• Iyanna Denise Brown, LMSW
• Carol D Campbell, DNP, APRN, PMHNP-BC
• Carol D Campbell Inc (Therapy for Your Mind and Body)
• Morgan Elizabeth Carter, MS, RD, LD
• Carrie Marie Clay, M.S. CCC-SLP

• General Practice Dentistry in Sheridan, AR
• Providers in Sheridan, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.