NPIMap

Organization Active NPI

Paragon Dental PC

Doing business as Matthew Carter DDS & Fred Tafoya DDS

  • Dentist
  • Papillion, NE
National Provider Identifier
1497892210
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6346 Issued in NE
Legal business name
PARAGON DENTAL PC
Doing business as
Matthew Carter DDS & Fred Tafoya DDS
Practice address
1221 Golden Gate Dr
Papillion, NE 68046-2837
Phone
(402) 331-2070
Fax
(402) 331-2186
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Matthew D Carter, DDSNPI 1154566032
Title
President and Dentist
Phone
(402) 331-2070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6346 NE Primary

Addresses

Primary practice location

1221 Golden Gate Dr
Papillion, NE 68046-2837

Mailing address

1221 Golden Gate Dr
Papillion, NE 68046-2837
Phone (402) 331-2070

Other names 1

  • Matthew Carter DDS & Fred Tafoya DDS Doing business as

National Provider Directory

National Provider Directory

Locations

1221 Golden Gate Dr
Papillion, NE 68046
Phone (402) 331-2070

Practitioners & affiliated clinicians

Practitioners 3

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1497892210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 GOLDEN GATE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462837",
            "telephone_number": "402-331-2070",
            "fax_number": "402-331-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 GOLDEN GATE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462837",
            "telephone_number": "402-331-2070",
            "fax_number": "402-331-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT AND DENTIST",
        "authorized_official_telephone_number": "402-331-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew Carter DDS & Fred Tafoya DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.