Fredrick Michael Matvias, D.M.D.,M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

2901011659 Issued in MI

Practice address

2833 Crooks Rd
Suite 101
Troy, MI 48084-4732

Phone

(248) 649-5399

Fax

(248) 649-5427

NPI assigned

Feb 18, 2008

Last updated

Feb 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1669640132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 CROOKS RD",
            "address_2": "SUITE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844732",
            "telephone_number": "248-649-5399",
            "fax_number": "248-649-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 CROOKS RD",
            "address_2": "SUITE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844732",
            "telephone_number": "248-649-5399",
            "fax_number": "248-649-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATVIAS",
        "first_name": "FREDRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901011659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thea G. Matthews, LLMSW
• Bassam Matti, MD
• Vivian Ghanem Matti, MD
• Rovetta Marie Mattia, OD
• Sean Matuszak, MD
• Brian Michael Matyniak, ACNP-BC
• Katharine W Mauer, MD
• Maura Bagos, D.O., P.C.
• Christopher Maurer, PT, DPT
• Dawn Marie Maurer

• Prosthodontics in Troy, MI
• Providers in Troy, MI by specialty
• Prosthodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.