Joshua Matonak, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS041161 Issued in PA

Practice address

90 Beaver Dr Ste 101a
Du Bois, PA 15801-2424

Phone

(814) 375-0500

Fax

(814) 375-0500

NPI assigned

Mar 12, 2012

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 PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1609141563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 101A",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012424",
            "telephone_number": "814-375-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 101A",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012424",
            "telephone_number": "814-375-0500",
            "fax_number": "814-375-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8194 Adams Dr",
            "address_purpose": "LOCATION",
            "city": "Hummelstown",
            "state": "PA",
            "postal_code": "170368624",
            "country_code": "US",
            "telephone_number": "717-394-3033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 Rothsville Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439029",
            "country_code": "US",
            "telephone_number": "717-394-3033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Good Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032353",
            "country_code": "US",
            "telephone_number": "717-394-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATONAK",
        "first_name": "JOSHUA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-12",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS041161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary A Marshall, MPA, PA-C
• Brittany Martell, SPECIALIST
• Christina M. Martz, B. S.
• Christopher Robert Matha, PT
• Tyler David Matheson, CRNA
• Donald Matson, PHARMD
• Lisa Marie Matson, PHARMD
• Cassidy Mauk, FNP-C
• Tonya Lynn Mauk, B. A.
• Heather Christine Mawn, RPH

• Oral and Maxillofacial Surgery (Dentist) in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.