Active NPI
Matthew Frank Lalli, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Key West, FL
National Provider Identifier
1659635175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN27595
- Practice address
- 1721 Flagler Ave
Key West, FL 33040 - Phone
- (305) 294-6696
- NPI assigned
- Jun 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13173 | CT | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 50-058609 | NY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 058609 | NY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN27595 | FL | Primary |
Addresses
Primary practice location
1721 Flagler Ave
Key West, FL 33040
Mailing address
3110 Grand Ave Courtland Satori
Pinellas Park, FL 33782
Phone (914) 552-2281
Other practice location 1
1721 flagler ave
key west, FL 33040
Phone (305) 294-6696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13173 | CT | MD | Oral and Maxillofacial Surgery (Dentist) |
| DN27595 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 50-058609 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artistic Smiles, P.a. | Current | Accepting new patients | |
| Yonkers Oral Surgery, PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Island Dental Associates, P. a. | Past | Accepting new patients | |
| Professional Oral Surgery Alliance of Downstate New York PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
1721 Flagler Ave
Key West, FL 33040
Phone (305) 294-6696
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Key West, FL
- NPI 1467327304
-
- General Practice Dentistry
- Key West, FL
- NPI 1649489030
-
- Oral and Maxillofacial Surgery (Dentist)
- Scarsdale, NY
- NPI 1144043092
-
- Oral and Maxillofacial Surgery (Dentist)
- Yonkers, NY
- NPI 1255796553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1659635175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 GRAND AVE COURTLAND SATORI",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "33782",
"telephone_number": "914-552-2281",
"fax_number": "914-968-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 FLAGLER AVE",
"city": "KEY WEST",
"state": "FL",
"postal_code": "33040",
"telephone_number": "305-294-6696"
}
],
"practiceLocations": [
{
"address_1": "1721 flagler ave",
"address_purpose": "LOCATION",
"city": "key west",
"state": "FL",
"postal_code": "33040",
"country_code": "US",
"telephone_number": "305-294-6696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LALLI",
"first_name": "MATTHEW",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-28",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "13173",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "50-058609",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "058609",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN27595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.