Mathi Theva DMD PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MATHI THEVA DMD PC

Practice address

200 West Gate Dr
Suite 135
Brockton, MA 02301

Phone

(508) 583-3840

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Mathi ThevaNPI 1114956315

Title

President

Phone

(508) 583-3840

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Unident Dental Center Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mathi Theva

  • Dentist
  • Brockton, MA
  • NPI 1114956315
  NPD (past) Authorized official
• Jyoti Mishra, DMD

  • Dentist
  • Brocktom, MA
  • NPI 1619909074
  NPD (past)
• Geetanjali Puthalpet, DMD

  • General Practice Dentistry
  • Brockton, MA
  • NPI 1831374222
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699704999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WEST GATE DR",
            "address_2": "SUITE 135",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-583-3840",
            "fax_number": "508-559-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST GATE DR",
            "address_2": "SUITE 135",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-583-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHI THEVA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THEVA",
        "authorized_official_first_name": "MATHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-583-3840"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9769862",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unident Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victoria Matanes
• Rebecca Match
• Rebecca Lee Mather, M.S.
• Ajith Thomas Mathew, M.D.
• Joanne Lynn Mathews
• Clevens Mathieu
• Leila Benedict Mathieu, DO
• Magalie Mathieu, RN, BSN
• Jessica Ann Matos, LCSW
• Yarelis Matos, PSYD

• Dentist in Brockton, MA
• Providers in Brockton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.