Raymond Anthony Maturo, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901013223 Issued in MI

Practice address

2074 S Main St
Ann Arbor, MI 48103-6962

Phone

(734) 663-2490

Fax

(734) 663-5137

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Raymond a Maturo DDS PC

  • Pediatric Dentistry
  • Ann Arbor, MI
  • NPI 1912026808
  NPD (past) Authorized official
• Ann Arbor Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Ann Arbor, MI
  • NPI 1114300811
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699894576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036962",
            "telephone_number": "734-663-2490",
            "fax_number": "734-663-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036962",
            "telephone_number": "734-663-2490",
            "fax_number": "734-663-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATURO",
        "first_name": "RAYMOND",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901013223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mareeka S Mattis
• Debra L Mattison, MSW
• Kathryn E Matulich, NP
• Katherine Elizabeth Maturen, M.D.
• Maturity Matters
• Danielle Matusik, OT
• David Matye
• Joseph Mauch
• Charnay Mauldin
• Mauran Sivananthan, DO, PLLC

• Pediatric Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.