Active NPI
Maggie Matthewson, R.D.H. B.S.
- Dental Hygienist
- Dearborn, MI
National Provider Identifier
1427508936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- L516958
- Practice address
- 612 N Lafayette St
Dearborn, MI 48128-1583 - Phone
- (313) 498-8423
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | L516958 | MI | Primary |
Addresses
Primary practice location
612 N Lafayette St
Dearborn, MI 48128-1583
Mailing address
612 N Lafayette St
Dearborn, MI 48128-1583
Phone (313) 498-8423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L516958 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1427508936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 N LAFAYETTE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281583",
"telephone_number": "313-498-8423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 N LAFAYETTE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281583",
"telephone_number": "313-498-8423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWSON",
"first_name": "MAGGIE",
"credential": "R.D.H. B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "L516958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.