Individual provider Active NPI

Matthew J Cambria, DMD

  • Dentist
  • Blandon, PA
National Provider Identifier
1407205370
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040830 Issued in PA
Practice address
109 Anna Ave
Blandon, PA 19510-9311
Phone
(610) 926-1233
Fax
(610) 916-7640
NPI assigned
Jun 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040830 PA Primary

Addresses

Primary practice location

109 Anna Ave
Blandon, PA 19510-9311

Mailing address

109 Anna Ave
PO Box 260
Blandon, PA 19510-9311
Phone (610) 926-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20231228002627 PA Order and Referring Only - DentistPractitioner - Dentist 1557653250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040830PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Verber Dental Group, PC Dentist Past Accepting new patients
Verber Dental Group, PC Dentist Past Accepting new patients
Shuman & Schwab, DMD PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1407205370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ANNA AVE",
            "address_2": "PO BOX 260",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109311",
            "telephone_number": "610-926-1233",
            "fax_number": "610-916-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ANNA AVE",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109311",
            "telephone_number": "610-926-1233",
            "fax_number": "610-916-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRIA",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blandon, PA

Sources for this page

Verify at the official NPI Registry.