Active NPI
Mary Katherine Matthews, DMD
- Pediatric Dentistry
- Hockessin, DE
National Provider Identifier
1609086479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- PENDING
- Practice address
- 451 Hockessin Cors
Hockessin, DE 19707-9586 - Phone
- (302) 234-2440
- Fax
- (302) 234-2444
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS037189 | PA | |
| Pediatric Dentistry | 1223P0221X | PENDING | DE | Primary |
Addresses
Primary practice location
451 Hockessin Cors
Hockessin, DE 19707-9586
Mailing address
451 Hockessin Cors
Hockessin, DE 19707-9586
Phone (302) 234-2440
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS037189 | PA | MD | Pediatric Dentist |
| PENDING | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthews Dental Associates, PA | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Hockessin, DE
- NPI 1861710931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1609086479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 HOCKESSIN CORS",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197079586",
"telephone_number": "302-234-2440",
"fax_number": "302-234-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 HOCKESSIN CORS",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197079586",
"telephone_number": "302-234-2440",
"fax_number": "302-234-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "MARY KATHERINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS037189",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "DE",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hockessin, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.