Individual provider Active NPI

Daniel Wright Mathews Sr., DMD

  • General Practice Dentistry
  • Montgomery, AL
National Provider Identifier
1720184799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3600 Issued in AL
Practice address
4130 Carmichael Rd
Suite B
Montgomery, AL 36106-3670
Phone
(334) 277-8900
Fax
(334) 277-9947
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 3600 AL Primary

Addresses

Primary practice location

4130 Carmichael Rd
Suite B
Montgomery, AL 36106-3670

Mailing address

4130 Carmichael Rd
Suite B
Montgomery, AL 36106-3670
Phone (334) 277-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160229000548 AL Order and Referring Only - DentistPractitioner - Dentist 1153626262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3600ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mathews & Mathews Dental General Practice Past Accepting new patients
Daniel W Mathews DMD PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720184799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 CARMICHAEL RD",
            "address_2": "SUITE B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063670",
            "telephone_number": "334-277-8900",
            "fax_number": "334-277-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 CARMICHAEL RD",
            "address_2": "SUITE B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063670",
            "telephone_number": "334-277-8900",
            "fax_number": "334-277-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "DANIEL",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.