Active NPI
Reid Alan Matteson, C. PED.
- Customized Equipment (DME)
- Sioux Falls, SD
National Provider Identifier
1548336662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Practice address
- 112 S Van Eps Ave
Sioux Falls, SD 57103-1734 - Phone
- (605) 331-3067
- Fax
- (605) 331-3083
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NU | Primary |
Addresses
Primary practice location
112 S Van Eps Ave
Sioux Falls, SD 57103-1734
Mailing address
112 S Van Eps Ave
Sioux Falls, SD 57103-1734
Phone (605) 331-3067
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548336662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S VAN EPS AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571031734",
"telephone_number": "605-331-3067",
"fax_number": "605-331-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S VAN EPS AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571031734",
"telephone_number": "605-331-3067",
"fax_number": "605-331-3083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTESON",
"first_name": "REID",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "C. PED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.