Luis A Matos, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN 18887 Issued in FL

Practice address

175 Toney Penna Dr
Jupiter, FL 33458-5755

Phone

(561) 745-2881

NPI assigned

May 12, 2010

Last updated

May 12, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1619295771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585755",
            "telephone_number": "561-745-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585755",
            "telephone_number": "561-745-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 18887",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katja Marxen, PT
• Michael Laurens Masucci, D.C.
• Benjamin Matalon, DPT
• Ashley Matarazzo
• Marc Francis Matarazzo, MD
• Maurice G. Cogle, LLC (Cogle's Rehab Staffing Services, LLC)
• Chester J Maxson, M.D.
• Michelle Millares May, M.E.D, LMHC
• Christie Leigh Mayer, P.T.
• Richard Mayron, MD

• Pediatric Dentistry in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.