Active NPI
Matthew Randall Kanter, D.D.S.
- Dentist
- Murrieta, CA
National Provider Identifier
1467709642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102154
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 102154 | CA | MD | Clinical Social Worker |
| 12011818A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew R. Kanter, DDS, Inc. | Dentist | Current | Accepting new patients |
| Derek B. Hauser, DDS, Inc. | Past | Accepting new patients | |
| Hauser Phillipe Dental Partnership | Past | 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.
-
- Dentist
- Murrieta, CA
- NPI 1942038328
-
- Dental Clinic/Center
- Lake Elsinore, CA
- NPI 1619469194
-
- Dental Clinic/Center
- Lake Elsinore, CA
- NPI 1477158582
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.