Individual provider Active NPI

Matthew Randall Kanter, D.D.S.

  • Dentist
  • Murrieta, CA
National Provider Identifier
1467709642
Registry record updated Nov 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
102154 Issued in CA
Practice address
25460 Medical Center Dr Ste 204
Murrieta, CA 92562-5985
Phone
(951) 677-7785
NPI assigned
Aug 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011818A IN
General Practice Dentistry 1223G0001X 102154 CA
Dentist 122300000X 102154 CA Primary

Addresses

Primary practice location

25460 Medical Center Dr Ste 204
Murrieta, CA 92562-5985

Mailing address

25460 Medical Center Dr Ste 204
Murrieta, CA 92562-5985
Phone (516) 777-7859

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
102154CAMDClinical Social Worker
12011818AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew R. Kanter, DDS, Inc. Dentist CurrentSince Jul 28, 2024 Accepting new patients
Derek B. Hauser, DDS, Inc. Past Accepting new patients
Hauser Phillipe Dental Partnership PastSince Dec 6, 2020 Accepting new patients

Locations

25460 Medical Center Dr
Ste 204
Murrieta, CA 92562
Phone (951) 677-7785

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700956800000",
    "number": "1467709642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25460 MEDICAL CENTER DR STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625985",
            "telephone_number": "516-777-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25460 MEDICAL CENTER DR STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625985",
            "telephone_number": "951-677-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTER",
        "first_name": "MATTHEW",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2023-11-26",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011818A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102154",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2023; 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.