Matt Mauck, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10477 Issued in CO

Practice address

3131 S Vaughn Way Ste 422
Aurora, CO 80014-3508

Phone

(303) 745-1400

NPI assigned

Jun 27, 2011

Last updated

Jun 28, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1659667731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 S VAUGHN WAY STE 422",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143508",
            "telephone_number": "303-745-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S VAUGHN WAY STE 422",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143508",
            "telephone_number": "303-745-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCK",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Renee Matz, LCSW
• Katherine Anne Matzke
• Amber Danielle Matzoll, PA-C
• Madison Elizabeth Mau, MD
• Mary Rashel Mauck, APRN, CNS
• Leah Mauff, LAC
• Nancy Creskoff Maune, OTR/L
• Laura Arden Maurer, MD
• Kylie N Mauricci, PA
• Mauricio Waintrub M.D.P.C. (Rocky Mountain Internal Medicine)

• Dentist in Aurora, CO
• Providers in Aurora, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.