Individual provider Active NPI

Matthew Corbett Christopher, DDS

  • General Practice Dentistry
  • Union City, MI
National Provider Identifier
1710991930
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1598199 Issued in MI
Practice address
715 N Broadway St
Union City, MI 49094-1100
Phone
(517) 741-4565
Fax
(517) 741-8912
NPI assigned
Jul 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1598199 MI Primary

Addresses

Primary practice location

715 N Broadway St
Union City, MI 49094-1100

Mailing address

715 N Broadway St
Union City, MI 49094-1100
Phone (517) 741-4565

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161214000726 MI Order and Referring Only - DentistPractitioner - Dentist 3375823172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1598199MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew C. Christopher DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710991930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N BROADWAY ST",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490941100",
            "telephone_number": "517-741-4565",
            "fax_number": "517-741-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N BROADWAY ST",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490941100",
            "telephone_number": "517-741-4565",
            "fax_number": "517-741-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "MATTHEW",
        "middle_name": "CORBETT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "1598199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, MI

Sources for this page

Verify at the official NPI Registry.