Organization Active NPI

Matthew Mintz MD LLC

  • Clinic/Center
  • Bethesda, MD
National Provider Identifier
1669067112
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MATTHEW MINTZ MD LLC
Practice address
10401 Old Georgetown Rd Ste 305
Bethesda, MD 20814-1911
Phone
(855) 646-8963
Fax
(855) 646-8963
NPI assigned
Mar 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Authorized official

Name
Dr. Matthew L Mintz, MDNPI 1063584951
Title
Physician/Owner
Phone
(855) 646-8963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10401 Old Georgetown Rd Ste 305
Bethesda, MD 20814-1911

Mailing address

10401 Old Georgetown Rd Ste 305
Bethesda, MD 20814-1911
Phone (855) 646-8963

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1669067112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD STE 305",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "855-646-8963",
            "fax_number": "855-646-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD STE 305",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "855-646-8963",
            "fax_number": "855-646-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW MINTZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "855-646-8963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.