NPIMap

Organization Active NPI

Matthew W. Devaney, D.D.S. & Associates PLLC

Doing business as Summerfield Family Dentistry

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1689824229
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC8237 Issued in NC
Legal business name
MATTHEW W. DEVANEY, D.D.S. & ASSOCIATES PLLC
Doing business as
Summerfield Family Dentistry
Practice address
6161 Lake Brandt Rd Unit a
Greensboro, NC 27455-8415
Phone
(336) 643-1440
Fax
(336) 643-1065
NPI assigned
Sep 19, 2008
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Matthew W Devaney, DDS
Title
Partner
Phone
(336) 643-1440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC6974 NC
General Practice Dentistry 1223G0001X NC8237 NC Primary

Addresses

Primary practice location

6161 Lake Brandt Rd Unit a
Greensboro, NC 27455-8415

Mailing address

6161 Lake Brandt Rd Unit a
Greensboro, NC 27455-8415
Phone (336) 643-1440

Other names 1

  • Summerfield Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1689824229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 LAKE BRANDT RD UNIT A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558415",
            "telephone_number": "336-643-1440",
            "fax_number": "336-643-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 LAKE BRANDT RD UNIT A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558415",
            "telephone_number": "336-643-1440",
            "fax_number": "336-643-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW W. DEVANEY, D.D.S. & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "DEVANEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-643-1440",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6974",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC8237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerfield Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.