Organization Active NPI

Matthew W Devaney DDS @ Brassfield, PA

  • Dentist
  • Greensboro, NC
National Provider Identifier
1669950689
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6974 Issued in NC
Legal business name
MATTHEW W DEVANEY DDS @ BRASSFIELD, PA
Practice address
2018 New Garden Rd D.
Greensboro, NC 27410
Phone
(336) 540-0026
NPI assigned
Aug 1, 2018
Organization subpart
Yes
Parent organization
MATTHEW W. DEVANEY, DDS. PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Matthew Wade Devaney, DDS
Title
Owner
Phone
(336) 643-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6974 NC Primary

Addresses

Primary practice location

2018 New Garden Rd D.
Greensboro, NC 27410

Mailing address

2018 New Garden Rd D
Greensboro, NC 27410

Other names 1

  • DeVaney Dentistry @ Brassfield Doing business as

National Provider Directory

National Provider Directory
Part of
Matthew Devaney DDS PA

Locations

2018 New Garden Rd
Ste D
Greensboro, NC 27410
Phone (336) 540-0026

Practitioners & affiliated clinicians

Practitioners 2

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": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1669950689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 NEW GARDEN RD D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "fax_number": "336-644-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 NEW GARDEN RD D.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-540-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW W DEVANEY DDS @ BRASSFIELD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEW W. DEVANEY, DDS. PA",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "DEVANEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-643-5515",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeVaney Dentistry @ Brassfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.