Duane Rodgers-Perez Mata, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00008291 Issued in CO

Practice address

660 Bannock St # L
Denver, CO 80204-4506

Phone

(303) 436-4949

Fax

(303) 602-4064

NPI assigned

Apr 4, 2007

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 CO

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

Locations

Interoperability endpoints

• Direct secure messaging: dmata109396@direct.dhha.org

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.

• Denver Health and Hospital Authority

  • General Practice Physician
  • Denver, CO
  • NPI 1477569838
  Medicare reassignment NPD
• Denver Health and Hospital Authority

  • Psychiatric Hospital Unit
  • Denver, CO
  • NPI 1689624942
  NPD
• Ask Dental Corp

  • Dentist
  • Denver, CO
  • NPI 1093249476
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1720100571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 E HAMPDEN AVE",
            "address_2": "STE 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243026",
            "telephone_number": "303-758-9511",
            "fax_number": "303-758-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BANNOCK ST # L",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044506",
            "telephone_number": "303-436-4949",
            "fax_number": "303-602-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1194 W Ash St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CO",
            "postal_code": "805504651",
            "country_code": "US",
            "telephone_number": "970-686-7775",
            "fax_number": "970-686-5892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATA",
        "first_name": "DUANE",
        "middle_name": "RODGERS-PEREZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00008291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mastercare LLC
• Masterpiece Transportation LLC
• Scott Russell Masters, MD
• Rosalyn Masterson, CAC III
• Mastery Neuroscience Training Certified LLC
• Eliselda Mata, LPC, CAC III
• Frank Matarazzo, PA
• Joseph Matarazzo, D.O.
• Michelle Rose Matassa, MS, PA-C
• Meghan Matejka, OTR/L

• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.