Matthew Michael Janda, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00203746 Issued in CO

Practice address

801 Iris Dr
Sterling, CO 80751-4740

Phone

(970) 522-4050

NPI assigned

Jun 22, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heron Pointe Dental, PLLC

  • General Practice Dentistry
  • Berthoud, CO
  • NPI 1982576534
  NPD Authorized official
• Matthew C Janda, DDS

  • General Practice Dentistry
  • Sterling, CO
  • NPI 1982247631
  NPD
• Pradera Dental, P.C.

  • Dental Clinic/Center
  • Sterling, CO
  • NPI 1447187141
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1649790452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-404-8200",
            "fax_number": "207-947-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 IRIS DR",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514740",
            "telephone_number": "970-522-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1048 Union St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013016",
            "country_code": "US",
            "telephone_number": "207-404-8200",
            "fax_number": "207-947-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANDA",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4569",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649790452",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inspire Health Direct Primary Care, LLC
• Janet Ivins
• James a Miller MD PC
• Kandi Dawn Jamison, R.N.
• Matthew Charles Janda, DDS
• Cody Jenkins
• Jaylene R Jewell
• Johnson Chiropractic P.C.
• Kiley Johnson
• Melanie Carol Johnson, MA, LPC

• General Practice Dentistry in Sterling, CO
• Providers in Sterling, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.