Matta Dental Care PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MATTA DENTAL CARE PLC

Practice address

2476 E Euclid Ave
Des Moines, IA 50317-3658

Phone

(515) 262-1923

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajendar Matta, DMDNPI 1780814954

Title

Owner

Phone

(515) 262-1923

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajendar Matta, D.M.D

  • Dentist
  • Coraopolis, PA
  • NPI 1780814954
  NPD Authorized official
• David Charles Motz, DDS

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1619907946
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1558973826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 WILLOW DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258317",
            "telephone_number": "205-617-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 E EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503173658",
            "telephone_number": "515-262-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTA DENTAL CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "RAJENDAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-262-1923",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynne Mathes, D.O.
• Ellen L Mathes, MSW
• Jessica A Mathisen, PA-C
• Gregory A Matlock, DO
• Christopher R Matson, DO
• Mark Richard Matthes, M.D.
• Lawrence W Matthews, DO
• Serena Matuk, LMHC
• Jennifer Ann Matzke, PMHNP
• Maureen Clare Dion

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.