Individual provider Active NPI

Matthew William Borders, D.D.S.

  • General Practice Dentistry
  • Shelby, NC
National Provider Identifier
1669673703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8381 Issued in NC
Practice address
222 N Lafayette St
1St Floor Suite 13
Shelby, NC 28150-4444
Phone
(704) 487-8931
Fax
(704) 487-8332
NPI assigned
May 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8381 NC Primary

Addresses

Primary practice location

222 N Lafayette St
1St Floor Suite 13
Shelby, NC 28150-4444

Mailing address

222 N Lafayette St
1St Floor Suite 13
Shelby, NC 28150-4444
Phone (704) 487-8931

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8381NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas C. Huitt D.D.S., P.a. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669673703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N LAFAYETTE ST",
            "address_2": "1ST FLOOR SUITE 13",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504444",
            "telephone_number": "704-487-8931",
            "fax_number": "704-487-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N LAFAYETTE ST",
            "address_2": "1ST FLOOR SUITE 13",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504444",
            "telephone_number": "704-487-8931",
            "fax_number": "704-487-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDERS",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.