Individual provider Active NPI

Milen Matev

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1508389594
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1001640-15 Issued in WI
Practice address
5231 University Ave
Madison, WI 53705-1361
Phone
(608) 238-1739
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1001640-15 WI Primary

Addresses

Primary practice location

5231 University Ave
Madison, WI 53705-1361

Mailing address

5231 University Ave
Madison, WI 53705-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222001686 WI Order and Referring Only - DentistPractitioner - Dentist 3072986009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001640-15WIMDGeneral Practice Dentistry

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16138/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1508389594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051361",
            "telephone_number": "608-238-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEV",
        "first_name": "MILEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001640-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.