Individual provider Active NPI

Jeremy Boyce Matthews, D.M.D.

  • General Practice Dentistry
  • Saratoga Springs, UT
National Provider Identifier
1407925233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5142959 Issued in UT
Practice address
1305 N Commerce Dr
Suite 220
Saratoga Springs, UT 84043-5305
Phone
(801) 766-4944
Fax
(801) 768-0327
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5142959 UT Primary

Addresses

Primary practice location

1305 N Commerce Dr
Suite 220
Saratoga Springs, UT 84043-5305

Mailing address

1305 N Commerce Dr
Suite 220
Saratoga Springs, UT 84043-5305
Phone (801) 766-4944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 27, 2024 through Feb 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5142959UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews Dental Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407925233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N COMMERCE DR",
            "address_2": "SUITE 220",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840435305",
            "telephone_number": "801-766-4944",
            "fax_number": "801-768-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N COMMERCE DR",
            "address_2": "SUITE 220",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840435305",
            "telephone_number": "801-766-4944",
            "fax_number": "801-768-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JEREMY",
        "middle_name": "BOYCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5142959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

Verify at the official NPI Registry.