Anita Biju Mathews, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101862 Issued in CA

Practice address

1507 W Yosemite Ave
Manteca, CA 95337-5159

Phone

(209) 823-9341

NPI assigned

Sep 17, 2012

Sex

Female

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• R. Ciccarelli, DDS., R. Joseph, DDS., M. El Farra, DDS., D. Saini, DDS

  • Dentist
  • Manteca, CA
  • NPI 1891853149
  NPD (past)
• Arul, PC

  • General Practice Dentistry
  • Raynham, MA
  • NPI 1265625198
  NPD (past)
• Kid Care Dental PC

  • Pediatric Dentistry
  • Stoughton, MA
  • NPI 1154415396
  NPD (past)
• Sunny Smile VII Inc

  • General Practice Dentistry
  • Raynham, MA
  • NPI 1518621556
  NPD (past)

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1679823710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5578 BALDWIN WAY",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W YOSEMITE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375159",
            "telephone_number": "209-823-9341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Central St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "MA",
            "postal_code": "020721686",
            "country_code": "US",
            "telephone_number": "781-341-0320",
            "fax_number": "781-297-7762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 South St W",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027675342",
            "country_code": "US",
            "telephone_number": "508-822-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "ANITA",
        "middle_name": "BIJU",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856131",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Nicole Marty
• Nargis Mateen
• Kenzi Ellen Mather
• Annie Mathew, PHARMD
• Reba Anil Mathew
• Catherine F Mathis, M.D.
• Michael Ross Matson, DDS
• Matthew Kim Dental Corp (Walnut Plaza Dental)
• Brianna Maxey
• Jade Hannah McBride

• General Practice Dentistry in Manteca, CA
• Providers in Manteca, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.

Verify at the official NPI Registry.