Organization Active NPI

Matlock Dentistry, PA

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1689542458
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MATLOCK DENTISTRY, PA
Doing business as
Matlock Dentistry
Practice address
2199 Matlock Road
Mansfield, TX 76063
Phone
(682) 466-8614
Fax
(972) 642-2571
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Hien To, DDSNPI 1891818183
Title
President
Phone
(214) 277-9337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2199 Matlock Road
Mansfield, TX 76063

Mailing address

319 W Camp Wisdom Rd
Duncanville, TX 75116-3332
Phone (214) 277-9337

Other names 1

  • Matlock Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2199 Matlock Rd
Mansfield, TX 76063
Phone (682) 466-8614

Practitioners & affiliated clinicians

Practitioners 1

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": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1689542458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W CAMP WISDOM RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163332",
            "telephone_number": "214-277-9337",
            "fax_number": "972-642-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 MATLOCK ROAD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "682-466-8614",
            "fax_number": "972-642-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATLOCK DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "HIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-277-9337",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matlock Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.