Individual provider Active NPI

John James Matthes Jr., D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1679919864
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
057604 Issued in NY
Practice address
191 3Rd Ave
New York, NY 10003-2501
Phone
(212) 228-1600
Fax
(212) 228-5600
NPI assigned
May 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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 057604 NY Primary

Addresses

Primary practice location

191 3Rd Ave
New York, NY 10003-2501

Mailing address

191 3Rd Ave
New York, NY 10003-2501
Phone (212) 228-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.matthes@matthesdental.com Direct

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
057604NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1679919864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032501",
            "telephone_number": "212-228-1600",
            "fax_number": "212-228-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032501",
            "telephone_number": "212-228-1600",
            "fax_number": "212-228-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHES",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.matthes@matthesdental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "191 3rd Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100032501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.