Active NPI
Usama Matar, DDS
- Dentist
- Hampton, VA
National Provider Identifier
1609291798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401414286
- Practice address
- 2040 Coliseum Dr
Hampton, VA 23666-3200 - Phone
- (857) 939-1577
- NPI assigned
- Feb 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401414286 | VA | Primary |
Addresses
Primary practice location
2040 Coliseum Dr
Hampton, VA 23666-3200
Mailing address
2040 Coliseum Dr
Hampton, VA 23666-3200
Phone (857) 939-1577
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414286 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1609291798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 COLISEUM DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236663200",
"telephone_number": "857-939-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 COLISEUM DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236663200",
"telephone_number": "857-939-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATAR",
"first_name": "USAMA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-26",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.