Frederick R Mathews, D.D.S.,M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

31950 Issued in CA

Practice address

940 Sylva LN
Suite K1
Sonora, CA 95370-5969

Phone

(209) 532-5578

Fax

(209) 532-6216

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fred.mathews.p1@direct.mathiesenmemorialhc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arthur N Donaldson M D Inc

  dba Sonora Eye Surgery Medical Clinic

  • Ophthalmology Physician
  • Sonora, CA
  • NPI 1497882914
  NPD (past)
• Arthur N Donaldson M D Inc

  dba Sonora Eye Surgery

  • Ophthalmology Physician
  • Angels Camp, CA
  • NPI 1942337746
  NPD (past)
• Sonora Oral & Maxillofacial Surgery Dental Group

  dba Sonora Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Sonora, CA
  • NPI 1972896785
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639298755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 SYLVA LN",
            "address_2": "SUITE K1",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705969",
            "telephone_number": "209-532-5578",
            "fax_number": "209-532-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 SYLVA LN",
            "address_2": "SUITE K1",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705969",
            "telephone_number": "209-532-5578",
            "fax_number": "209-532-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "FREDERICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "31950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Marshall, PA-C
• Martinez Vamc
• Marilyn Jean Martino
• Wayne Alan Mathe, DDS
• Elizabeth Mathews
• Kimberly Matthews, R.D.
• Cara Matyshock
• Christy R Maxson, LMFT
• Matthew Tam Maynard, D.O.
• Meredith R McBride, MD

• Oral and Maxillofacial Surgery (Dentist) in Sonora, CA
• Providers in Sonora, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.