Individual provider Active NPI

Matthew Jonas Fien, D.D.S.

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1467693887
Registry record updated Mar 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 17742 Issued in FL
Practice address
7301 W Palmetto Park Rd Ste 203B
Boca Raton, FL 33433-3456
Phone
(561) 391-6066
NPI assigned
Mar 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 17742 FL Primary

Addresses

Primary practice location

7301 W Palmetto Park Rd Ste 203B
Boca Raton, FL 33433-3456

Mailing address

510 NW 84TH Ave Apt 241
Plantation, FL 33324-1862
Phone (786) 897-9832

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

State licenses

LicenseStateTypeSpecialty
DN 17742FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236988800000",
    "number": "1467693887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NW 84TH AVE APT 241",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241862",
            "telephone_number": "786-897-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD STE 203B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333456",
            "telephone_number": "561-391-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEN",
        "first_name": "MATTHEW",
        "middle_name": "JONAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.