Matthew Steven Carmien, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011942A Issued in IN

Practice address

850 Columbus Dr
Plymouth, IN 46563-1877

Phone

(574) 936-2527

NPI assigned

May 22, 2013

Last updated

Sep 19, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Carmien & Pedavoli Family Dentistry, LLC

  • General Practice Dentistry
  • Plymouth, IN
  • NPI 1780446989
  NPD Authorized official
• Dental Health P.C.

  • General Practice Dentistry
  • Warsaw, IN
  • NPI 1841383189
  NPD (past)
• Thomas M. Pedavoli DDS Inc.

  • Dentist
  • Plymouth, IN
  • NPI 1215477088
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1669819215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLUMBUS DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631877",
            "telephone_number": "574-936-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLUMBUS DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631877",
            "telephone_number": "574-936-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMIEN",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011942A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011942A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Campbell, M.S.N./F.N.P.
• Manuel Johannes Cardenas Rivera, FNP-C
• Cardinal Center, Inc.
• Geri Carlson, M.A., M.MIN.
• Carmien & Pedavoli Family Dentistry, LLC
• Charlie J Celadina II, PT
• Central Indiana Orthopedics, LLC (OrthoAlliance of Indiana)
• Cep America - Anesthesia PC
• Cep America LLC
• Sarah Chambers

• General Practice Dentistry in Plymouth, IN
• Providers in Plymouth, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.