Individual provider Active NPI

Rinta E Mathews, DDS

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1619255395
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15091 Issued in MD
Practice address
1575 N 52ND St Ste 705
Philadelphia, PA 19131
Phone
(215) 879-1777
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS038800 PA
General Practice Dentistry 1223G0001X 15091 MD Primary

Addresses

Primary practice location

1575 N 52ND St Ste 705
Philadelphia, PA 19131

Mailing address

10132 Proctor Rd
Philadelphia, PA 19116-3716
Phone (443) 797-4592

Other practice location 1

7839 Eastpoint Mall
Kool Smiles
Baltimore, MD 21224-2116
Phone (410) 288-2913

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

LicenseStateTypeSpecialty
15091MDMDGeneral Practice Dentistry
DS038800PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dental, LLC General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1619255395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10132 PROCTOR RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163716",
            "telephone_number": "443-797-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N 52ND ST STE 705",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-879-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7839 Eastpoint Mall",
            "address_2": "Kool Smiles",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242116",
            "country_code": "US",
            "telephone_number": "410-288-2913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "RINTA",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038800",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.