Michael Warne Mathewson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019017139 Issued in IL

Practice address

215 E 2ND St
Dixon, IL 61021-3118

Phone

(815) 284-1557

NPI assigned

Aug 31, 2006

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 IL

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.

• Michael W. Mathewson, D.D.S., P.C.

  • General Practice Dentistry
  • Dixon, IL
  • NPI 1215000229
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1710099205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 2ND ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213118",
            "telephone_number": "815-284-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 2ND ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213118",
            "telephone_number": "815-284-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWSON",
        "first_name": "MICHAEL",
        "middle_name": "WARNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Martin, RN
• Gloria Ann Martin, LCPC
• Alexis Martinez, DPM
• Dominic Jacob Martinez, PT, DPT
• Mathew C Mathew, MD
• Nathan Mauren, DPM
• Olivia Maxwell, RBT
• Ashlyn May, RBT
• Richard Mayer
• Abigail Mayers-Brown, RBT

• Dentist in Dixon, IL
• Providers in Dixon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.