Active NPI
Robert C Matherne DDS Inc
- Dentist
- Beaumont, TX
National Provider Identifier
1609808120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- TEXAS8553
- Legal business name
- ROBERT C MATHERNE DDS INC
- Practice address
- 6830 Phelan Blvd
Beaumont, TX 77706 - Phone
- (409) 860-9600
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert C Matherne Sr., DDS
- Title
- President
- Phone
- (409) 860-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | TEXAS8553 | TX | Primary |
Addresses
Primary practice location
6830 Phelan Blvd
Beaumont, TX 77706
Mailing address
6830 Phelan Blvd
Beaumont, TX 77706
Phone (409) 860-9600
National Provider Directory
National Provider DirectoryLocations
6830 Phelan Blvd
Beaumont, TX 77706
Phone (409) 860-9600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403049600000",
"number": "1609808120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 PHELAN BLVD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77706",
"telephone_number": "409-860-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 PHELAN BLVD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77706",
"telephone_number": "409-860-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT C MATHERNE DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2014-06-18",
"status": "A",
"authorized_official_last_name": "MATHERNE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "409-860-9600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "TEXAS8553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.