Active NPI
George Wheeler Matthews III, D.M.D
- Dentist
- Birmingham, AL
National Provider Identifier
1679662399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3687
- Practice address
- 27 Church St
Birmingham, AL 35213-3701 - Phone
- (205) 879-8500
- Fax
- (205) 879-8500
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3687 | AL | Primary |
Addresses
Primary practice location
27 Church St
Birmingham, AL 35213-3701
Mailing address
27 Church St
Birmingham, AL 35213-3701
Phone (205) 879-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160415000698 | AL | Order and Referring Only - Other (Non-Physician) | 4183922701 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3687 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679662399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CHURCH ST",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352133701",
"telephone_number": "205-879-8500",
"fax_number": "205-879-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 CHURCH ST",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352133701",
"telephone_number": "205-879-8500",
"fax_number": "205-879-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "GEORGE",
"middle_name": "WHEELER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "3687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.