Bruce Andrew Matthews, DMD MDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS025197L Issued in PA

Practice address

1225 South Main St
Wellington Square Suite 106
Greensburg, PA 15601

Phone

(724) 836-4452

Fax

(724) 836-1562

NPI assigned

Feb 11, 2008

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

Other identifiers 1

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1659559854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SOUTH MAIN ST",
            "address_2": "WELLINGTON SQUARE SUITE 106",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-836-4452",
            "fax_number": "724-836-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SOUTH MAIN ST",
            "address_2": "WELLINGTON SQUARE SUITE 106",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-836-4452",
            "fax_number": "724-836-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "BRUCE",
        "middle_name": "ANDREW",
        "credential": "DMD MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS025197L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "564448",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Mastruserio, PSYD
• Michele Louise Matey, P.T.A.
• Jennifer Marie Matrisch, PHARM. D.
• Erin Matro
• Amanda M Mattei
• Morgan Maudie, M.A. CCC-SLP
• Carol Lea Maughan
• Sandra Mauro
• Edvina May, LPC
• Richard Joseph Mayers, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.