Matthew William Hearn, DDS MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

01060238A Issued in IN

Practice address

2005 Roosevelt Rd
Suite B
Valparaiso, IN 46383-2746

Phone

(219) 531-9293

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Matthew Hearn LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Portage, IN
  • NPI 1265216881
  NPD Authorized official
• Valparaiso Family Dentistry PC

  • General Practice Dentistry
  • Valparaiso, IN
  • NPI 1093874638
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1609970979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 LAKE HURON DR APT 104",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836746",
            "telephone_number": "504-220-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ROOSEVELT RD",
            "address_2": "SUITE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832746",
            "telephone_number": "219-531-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "01060238E",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "01060238A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200511950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthlinc, Inc
• Healthlinc, Inc.
• Healthlinc, Inc.
• Healthlinc, Inc.
• Healthpartners Medical Group, LLC
• Heart to Heart Hospice of Northwest Indiana LLC
• Heather L. Jozwiak OD PC
• Brittany Lynn Heideman, CAPRC 1
• Eric Andrew Hein, D.D.S.
• Ladawn Heinold, PTA

• Oral and Maxillofacial Surgery (Dentist) in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.