Matthew S Roberts, DMD, MIDIA

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855418 Issued in MA

Practice address

2 Amelia Dr.
Nantucket, MA 02554

Phone

(508) 685-2163

NPI assigned

Aug 12, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roberts Family Dentistry LLC

  • General Practice Dentistry
  • Nantucket, MA
  • NPI 1174333504
  NPD
• Paul M. Roberts DDS PC

  • Dental Clinic/Center
  • Nantucket, MA
  • NPI 1801203617
  NPD (past)

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1548575798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AMELIA DR.",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "02554",
            "telephone_number": "508-685-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AMELIA DR.",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "02554",
            "telephone_number": "508-685-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD,  MIDIA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Ross
• Julie Richardson
• John West Riggs Jr.
• Lilliana Rios, MSW
• Roberts Family Dentistry LLC
• Paul M Roberts, DDS
• Sandra Noemi Rosario
• Michael J. Ruby, O.D.
• Sarah Fulham Russell, M.D.
• Lisa Russo Russo, LCSW

• Dentist in Nantucket, MA
• Providers in Nantucket, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.