Individual provider Active NPI

Matthew Lawrence Lonier, DDS

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1689820144
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D07627 Issued in AZ
Practice address
5225 N Central Ave
Suite 102
Phoenix, AZ 85012-1400
Phone
(602) 242-2576
Fax
(602) 246-4225
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7627 AZ
General Practice Dentistry 1223G0001X D07627 AZ Primary

Addresses

Primary practice location

5225 N Central Ave
Suite 102
Phoenix, AZ 85012-1400

Mailing address

5225 N Central Ave
Suite 102
Phoenix, AZ 85012-1400
Phone (602) 242-2576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20151208003390 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3678874088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D07627AZMDGeneral Practice Dentistry
7627AZMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Lonier DDS, PLLC CurrentSince Jul 25, 2021 Accepting new patients

Locations

5225 N Central Ave
Ste 102
Phoenix, AZ 85012
Phone (602) 242-2576

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1689820144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 N CENTRAL AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121400",
            "telephone_number": "602-242-2576",
            "fax_number": "602-246-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N CENTRAL AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121400",
            "telephone_number": "602-242-2576",
            "fax_number": "602-246-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONIER",
        "first_name": "MATTHEW",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7627",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D07627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.