Matthew Mastrorocco DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MATTHEW MASTROROCCO DMD, PA

Practice address

25 Summit Drive Suite 100
Bluffton, SC 29910-4999

Phone

(843) 706-3800

Fax

(843) 706-3802

NPI assigned

Dec 10, 2021

Organization subpart

Yes

Parent organization

MATTHEW MASTROROCCO DMD, PAAs reported in NPPES

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

Authorized official

Name

Mrs. Claudette Stuckart

Title

Practice Manager

Phone

(843) 681-4601

Specialties & licenses 1

Addresses

Other names 1

• ROC Dental Group Bluffton Doing business as

Electronic endpoints 1

Tax ID family

Matthew Mastrorocco DMD PA2 organizations share this tax ID, including this one

Part of

Matthew Mastrorocco DMD PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Matthew Mastrorocco DMD, PA

  • Dental Clinic/Center
  • Hilton Head, SC
  • NPI 1114396629
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Matthew Mastrorocco DMD, PA

  • Dental Clinic/Center
  • Hilton Head, SC
  • NPI 1114396629
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Russell Haire, DMD

  • Student in an Organized Health Care Education/Training Program
  • Hilton Head Island, SC
  • NPI 1205444171
  NPD
• Matthew Ryan Mastrorocco, D.M.D.

  • General Practice Dentistry
  • Hilton Head Island, SC
  • NPI 1598848889
  NPD (past)

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1508525148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MAIN ST STE D",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264609",
            "telephone_number": "843-682-4601",
            "fax_number": "843-682-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SUMMIT DRIVE SUITE 100",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104999",
            "telephone_number": "843-706-3800",
            "fax_number": "843-706-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW MASTROROCCO DMD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEW MASTROROCCO DMD, PA",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "STUCKART",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "843-681-4601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@rocdentalgroup.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25 Summit Drive Suite 100",
            "city": "Bluffton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299104999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ROC Dental Group Bluffton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.