DRS. Matia & Lemke, LLC.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

DRS. MATIA & LEMKE, LLC.

Practice address

1706 Beall Ave
Wooster, OH 44691-2378

Phone

(330) 264-5851

NPI assigned

Aug 26, 2020

Last updated

Sep 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Irwin Matia, DDS, MSDNPI 1083782387

Title

Partner

Phone

(216) 570-8827

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Irwin Matia, DDS MSD

  • Periodontics
  • Wooster, OH
  • NPI 1083782387
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1477166718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912378",
            "telephone_number": "330-264-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912378",
            "telephone_number": "330-264-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. MATIA & LEMKE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MATIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "216-570-8827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE DENTAL BOARD",
            "identifier": "1083782387",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MATTHEW J. LEMKE, DDS, MS",
            "identifier": "1265720767",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Michelle Draman, P.C.
• Charity Christiana Draman, RN
• Jay Dravenstott, QMHS
• Jane Dreier, SLP
• Stacey Dawn Driscoll, RN
• Claire Elise Drum
• John P Duarte
• Amy Duda, SLP
• Robert R Duffy
• Janelle Dufresne, MSW, LSW

• Periodontics in Wooster, OH
• Providers in Wooster, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.