Dillan Matthes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12015112A Issued in IN

Practice address

5477 N Johnson Rd
Michigan City, IN 46360-9377

Phone

(219) 879-8563

NPI assigned

Sep 21, 2026

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1417869843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 N JOHNSON RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5477 N JOHNSON RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609377",
            "telephone_number": "219-879-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHES",
        "first_name": "DILLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12015112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Leigh Maroon, DC
• Drake E Marshall, FNP-C
• Veronica C Martin, MA
• Maryann T. Fumo PC
• Matias Inc (Lighthouse Counseling and Wellness)
• Maurice Ndukwu PC
• MBJ Counseling PC
• Kevin McBride
• Noelle A McBride, RDN
• Joel Charles McClurg, MD, PHD, FAAOS

• General Practice Dentistry in Michigan City, IN
• Providers in Michigan City, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.