Individual provider Active NPI

Matthew Joseph Horan, DMD

  • Dentist
  • Boston, MA
National Provider Identifier
1447411079
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22143 Issued in MA
Practice address
250 Washington St
Boston, MA 02108-4603
Phone
(617) 624-6000
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22143 MA Primary

Addresses

Primary practice location

250 Washington St
Boston, MA 02108-4603

Mailing address

250 Washington St
Boston, MA 02108-4603
Phone (617) 624-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090117000085 MA Practitioner - Oral Surgery 0244393239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22143MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Services, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Harbor Health Services Inc CurrentSince Dec 1, 2020 Accepting new patients
Harbor Health Services, Inc Past Accepting new patients

Locations

250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140

735 Attucks Ln
Hyannis, MA 02601
Phone (508) 778-0300

1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300

10 Cordage Park Cir
Plymouth, MA 02360
Phone (508) 747-1443

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1447411079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084603",
            "telephone_number": "617-624-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084603",
            "telephone_number": "617-624-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "22143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.