Active NPI
Robert J. Matthews DMD PLLC
- General Practice Dentistry
- Surprise, AZ
National Provider Identifier
1710922810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5258
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 862880 | Other | AZ | ACCCHS |
Other names 1
- Sun Dentures and Dentistry
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Surprise, AZ
- NPI 1437202165
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.