Individual provider Active NPI

Matthew James Drescher, D.D.S

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1649525056
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019029148 Issued in IL
Practice address
3155 Book Rd
# 107
Naperville, IL 60564
Phone
(630) 922-1311
NPI assigned
Jul 23, 2012
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019029148 IL Primary

Addresses

Primary practice location

3155 Book Rd
# 107
Naperville, IL 60564

Mailing address

3155 Book Rd
# 107
Napperville, IL 60564
Phone (563) 320-0319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20150611000177 IL Order and Referring Only - DentistPractitioner - Dentist 3971824376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019029148ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Paul V. Caputo Sr., D.D.S., P.C. General Practice CurrentSince Nov 24, 2019 Accepting new patients
Mjddds, PLLC CurrentSince Nov 28, 2021 Accepting new patients

Locations

3155 Book Rd
Ste 107
Naperville, IL 60564
Phone (630) 922-1311

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1649525056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 BOOK RD",
            "address_2": "# 107",
            "city": "NAPPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "563-320-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 BOOK RD",
            "address_2": "# 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-922-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESCHER",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.