Individual provider Active NPI

Barrie Lee Matthews, D.M.D.

  • General Practice Dentistry
  • Miles City, MT
National Provider Identifier
1699852251
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2204 Issued in MT
Practice address
2600 Main St
Miles City, MT 59301-3929
Phone
(406) 234-3536
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2204 MT Primary

Addresses

Primary practice location

2600 Main St
Miles City, MT 59301-3929

Mailing address

2600 Main St
Miles City, MT 59301-3929
Phone (406) 234-3536

Other practice location 1

520 Main St
Miles City, MT 59301-3019
Phone (406) 874-9637

Other identifiers 1

IdentifierTypeStateIssuer
0025363MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2204MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Aye Family Dentistry, Inc PastSince Oct 27, 2019 Accepting new patients

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1699852251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MAIN ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013929",
            "telephone_number": "406-234-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MAIN ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013929",
            "telephone_number": "406-234-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Main St",
            "address_purpose": "LOCATION",
            "city": "Miles City",
            "state": "MT",
            "postal_code": "593013019",
            "country_code": "US",
            "telephone_number": "406-874-9637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "BARRIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025363",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.