NPIMap

Organization Active NPI

Matthew R. Wirig, DMD, Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Henderson, NV
National Provider Identifier
1457528390
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-175 Issued in NV
Legal business name
MATTHEW R. WIRIG, DMD, PROFESSIONAL CORPORATION
Practice address
34 N Valle Verde Dr
120
Henderson, NV 89074-1774
Phone
(702) 454-1008
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Matthew Richard Wirig, D.M.D.
Title
President
Phone
(702) 454-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X S3-175 NV Primary

Addresses

Primary practice location

34 N Valle Verde Dr
120
Henderson, NV 89074-1774

Mailing address

34 N Valle Verde Dr
120
Henderson, NV 89074-1774
Phone (702) 454-1008

National Provider Directory

National Provider Directory
Tax ID family
Matthew R Wirig DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

34 N Valle Verde Dr
Ste 120
Henderson, NV 89074
Phone (702) 454-1008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1457528390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N VALLE VERDE DR",
            "address_2": "120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741774",
            "telephone_number": "702-454-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N VALLE VERDE DR",
            "address_2": "120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741774",
            "telephone_number": "702-454-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R. WIRIG, DMD, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "WIRIG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-454-1008",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.