NPIMap

Organization Active NPI

Matthews Dental

  • Public Health Dentistry
  • Saratoga Springs, UT
National Provider Identifier
1588039499
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
5142959 Issued in UT
Legal business name
MATTHEWS DENTAL
Practice address
1305 N Commerce Dr
#220
Saratoga Springs, UT 84045
Phone
(801) 766-4944
Fax
(801) 768-0327
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Jeremy Boyce Matthews, DDSNPI 1407925233
Title
Owner / Provider
Phone
(801) 766-4944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X 5142959 UT Primary

Addresses

Primary practice location

1305 N Commerce Dr
#220
Saratoga Springs, UT 84045

Mailing address

1305 N Commerce Dr
#220
Saratoga Springs, UT 84045
Phone (801) 766-4944

National Provider Directory

National Provider Directory

Locations

1305 N Commerce Dr
Ste 220
Saratoga Springs, UT 84045
Phone (801) 766-4944

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1588039499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N COMMERCE DR",
            "address_2": "#220",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-766-4944",
            "fax_number": "801-768-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N COMMERCE DR",
            "address_2": "#220",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-766-4944",
            "fax_number": "801-768-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "BOYCE",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "801-766-4944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "UT",
            "license": "5142959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.