Active NPI
Matthew Ryan Sperber, DDS
- General Practice Dentistry
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9332
- Practice address
- 2015 2ND Ave Ste 201
Summerville, SC 29486-7889 - Phone
- (843) 900-4428
- NPI assigned
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9332 | SC | Primary |
Addresses
Primary practice location
2015 2ND Ave Ste 201
Summerville, SC 29486-7889
Mailing address
2015 2ND Ave Ste 201
Summerville, SC 29486-7889
Phone (843) 900-4428
Other practice location 1
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7642
Other practice location 2
1204 Two Island Ct
Mount Pleasant, SC 29466
Phone (843) 881-8881
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9332 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Family Dental LLC | General Practice | Current | Accepting new patients |
| Riccobene & Associates CCC, DDS, PC | General Practice | Current | Accepting new patients |
| Pleasant Family Dentistry | General Practice | Past | Accepting new patients |
Locations
1204 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 881-8881
2015 2nd Ave
Ste 201
Summerville, SC 29486
Phone (516) 521-3012
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Summerville, SC
- NPI 1699366062
-
dba Pleasant Family Dentistry
- General Practice Dentistry
- Mount Pleasant, SC
- NPI 1417756396
-
- General Practice Dentistry
- Mount Pleasant, SC
- NPI 1336321629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624752000000",
"number": "1710482773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 2ND AVE STE 201",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867889",
"telephone_number": "843-900-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 2ND AVE STE 201",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867889",
"telephone_number": "843-900-4428"
}
],
"practiceLocations": [
{
"address_1": "201 Lyons Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071122027",
"country_code": "US",
"telephone_number": "973-926-7642",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1204 Two Island Ct",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "29466",
"country_code": "US",
"telephone_number": "843-881-8881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPERBER",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2021-06-27",
"certification_date": "2021-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.