Organization Active NPI

Robert J. Matthews DMD PLLC

  • General Practice Dentistry
  • Surprise, AZ
National Provider Identifier
1710922810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5258 Issued in AZ
Legal business name
ROBERT J. MATTHEWS DMD PLLC
Doing business as
Sun Dentures and Dentistry
Practice address
12801 W Bell Rd
Suite 15
Surprise, AZ 85374-9797
Phone
(623) 972-1200
Fax
(623) 972-3405
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Joseph Matthews, D.M.D.NPI 1437202165
Title
President
Phone
(623) 972-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5258 AZ Primary

Addresses

Primary practice location

12801 W Bell Rd
Suite 15
Surprise, AZ 85374-9797

Mailing address

12801 W Bell Rd
Suite 15
Surprise, AZ 85374-9797
Phone (623) 972-1200

Other identifiers 1

IdentifierTypeStateIssuer
862880OtherAZACCCHS

Other names 1

  • Sun Dentures and Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12801 W Bell Rd
Ste 15
Surprise, AZ 85378
Phone (623) 972-1200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710922810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 W BELL RD",
            "address_2": "SUITE 15",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749797",
            "telephone_number": "623-972-1200",
            "fax_number": "623-972-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 W BELL RD",
            "address_2": "SUITE 15",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749797",
            "telephone_number": "623-972-1200",
            "fax_number": "623-972-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. MATTHEWS DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-972-1200",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCCHS",
            "identifier": "862880",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Dentures and Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • 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.