Individual provider Active NPI

Matthew Reed Barefoot, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mount Pleasant, SC
National Provider Identifier
1659539294
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8483 Issued in SC
Practice address
1203 Two Island CT Unit 102
Mt Pleasant, SC 29466-7405
Phone
(843) 849-5188
Fax
(843) 849-5186
NPI assigned
May 30, 2008
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8483 SC Primary

Addresses

Primary practice location

1203 Two Island CT Unit 102
Mt Pleasant, SC 29466-7405

Mailing address

1203 Two Island CT Unit 102
Mt Pleasant, SC 29466-7405
Phone (843) 849-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2019 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8483SCMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson P. Morgan, III, PC Oral and Maxillofacial Surgery PastSince Jun 20, 2009 Accepting new patients
Southeastern Oral and Maxillofacial Surgical Associates P.C. Oral and Maxillofacial Surgery Past Accepting new patients
Palmetto Facial Surgery Center, LLC Oral and Maxillofacial Surgery PastSince Jan 31, 2015 Accepting new patients

Organizations & group practices 4

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1659539294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 TWO ISLAND CT UNIT 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667405",
            "telephone_number": "843-849-5188",
            "fax_number": "843-849-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 TWO ISLAND CT UNIT 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667405",
            "telephone_number": "843-849-5188",
            "fax_number": "843-849-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAREFOOT",
        "first_name": "MATTHEW",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "8483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.