Katrina Chaundani Mattison, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

8099 Issued in NC

Practice address

322 Main St
Prospect Hill, NC 27314-9438

Phone

(336) 562-3123

NPI assigned

Dec 11, 2006

Last updated

May 7, 2013By the provider in NPPES

Sex

Female

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

Enrolled in NC

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of North Carolina Hospitals at Chapel Hill

  dba UNC Interventional Cardiology Services

  • Interventional Cardiology Physician
  • Chapel Hill, NC
  • NPI 1568070308
  Medicare reassignment NPD
• University of North Carolina Hospitals at Chapel Hill

  dba UNC Hospitals Specialty Pharmacy

  • Community/Retail Pharmacy
  • Morrisville, NC
  • NPI 1134928542
  NPD
• University of North Carolina Hospitals at Chapel Hill

  dba UNC Hospitals Alcohol Substance Abuse

  • Pediatric Nutrition Registered Dietitian
  • Chapel Hill, NC
  • NPI 1861415804
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1457411167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TIGHFIELD DRIVE",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "27302",
            "telephone_number": "919-563-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "PROSPECT HILL",
            "state": "NC",
            "postal_code": "273149438",
            "telephone_number": "336-562-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "KATRINA",
        "middle_name": "CHAUNDANI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "8099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Olson Cronk
• Madison Fazzolare, PA-C
• Joan Floyd, RPH
• Homes That Care, Inc.
• Audrey Kemp
• Sean Angela Williams Meltzer, D.M.D.
• Piedmont Health Services, Inc. (Prospect Hill Community Health Center)
• Piedmont Health Services, Inc. (Prospect Hill CHC Dental)
• Piedmont Health Services, Inc. (Prospect Hill CHC Pharmacy)
• Evelyn Ponce Quintero, LCSW-A

• Public Health Dentistry in Prospect Hill, NC
• Providers in Prospect Hill, NC by specialty
• Public Health Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.