NPIMap

Organization Active NPI

Matthew a. Korn, DDS, Professional Corporation

  • Periodontics
  • Sacramento, CA
National Provider Identifier
1417459397
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
38438 Issued in CA
Legal business name
MATTHEW A. KORN, DDS, PROFESSIONAL CORPORATION
Practice address
2830 G St Ste 100
Sacramento, CA 95816-3784
Phone
(916) 446-9100
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Dr. Matthew Albert Korn, DDSNPI 1982756888
Title
President
Phone
(916) 447-5676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 38438 CA Primary

Addresses

Primary practice location

2830 G St Ste 100
Sacramento, CA 95816-3784

Mailing address

2830 G St Ste 100
Sacramento, CA 95816-3784
Phone (916) 446-9100

Other practice location 1

2241 Sunset Blvd Ste B
Rocklin, CA 95765-4295
Phone (916) 786-9100

National Provider Directory

National Provider Directory

Locations

2241 Sunset Blvd
Ste B
Rocklin, CA 95765
Phone (916) 786-9100

2830 G St
Ste 100
Sacramento, CA 95816
Phone (916) 446-9100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1417459397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 G ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163784",
            "telephone_number": "916-446-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 G ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163784",
            "telephone_number": "916-446-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2241 Sunset Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "957654295",
            "country_code": "US",
            "telephone_number": "916-786-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEW A. KORN, DDS, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "KORN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-447-5676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "38438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.