Ganeev Mattu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00205675 Issued in CO

Practice address

7470 W 52ND Ave
Arvada, CO 80002-3710

Phone

(303) 475-0037

NPI assigned

Jul 13, 2023

Last updated

Jul 13, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arvada Smiles Dentistry, LLP

  dba Arvada Smiles Dentistry

  • General Practice Dentistry
  • Arvada, CO
  • NPI 1669849857
  NPD (past)

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1689353948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7470 W 52ND AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 W 52ND AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023710",
            "telephone_number": "303-475-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTU",
        "first_name": "GANEEV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalia Massa, PH.D.
• Jennifer Massa, RDH
• Robert Alan Masthay, D.M.D.
• Veena Mathad, M.D.
• Jennifer Rose Mathews, PHARMD
• Maximal Balance
• Kris May
• Steven Maya
• Charles P Mayer-Twomey, LCSW
• Ann Mayes

• General Practice Dentistry in Arvada, CO
• Providers in Arvada, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.