Matthew D Freedman, DMD, MAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS028147L Issued in PA

Practice address

416 N Duke St
Lancaster, PA 17602-4932

Phone

(717) 392-8376

Fax

(717) 392-8041

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1457341455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024932",
            "telephone_number": "717-392-8376",
            "fax_number": "717-392-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024932",
            "telephone_number": "717-392-8376",
            "fax_number": "717-392-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD, MAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028147L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Frazier I, PHD
• Fred J Levin DMD PC
• Gerald Frederick, PT
• Dennis L Freed, CRNP
• Beth E Freedman, MD
• Adriane Logan Freeman, CRNP
• Anthony Micheal Freeman, MS
• Tanya Lynn Freiberg, CRNP
• Krista M Freitag, M.ED.
• Alyssa Frey

• General Practice Dentistry in Lancaster, PA
• Providers in Lancaster, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.