Matthew W Sheffer, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

302 Issued in OK

Practice address

5227 S Main St Ste B
Joplin, MO 64804-4938

Phone

(417) 625-1122

Fax

(417) 625-1210

NPI assigned

Feb 14, 2007

Last updated

Jun 17, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 10, 2014 through May 10, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Joplin Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Joplin, MO
  • NPI 1639345937
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1730222647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248813",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248813",
            "telephone_number": "405-848-7974",
            "fax_number": "405-848-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 S MAIN ST STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044938",
            "telephone_number": "417-625-1122",
            "fax_number": "417-625-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFER",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OK",
            "license": "302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor L Shaver
• Drake Shaw, DO
• Robert A. Shaw, R.PH.
• Dewey Wayne Sheets
• Kenneth Sheffer
• Max William Sheffer
• Jonathan A Sheldon Sr., MD
• Sydney Shelfer
• Emma Eileen Shelley
• Brenden Charles Shelton

• Oral & Maxillofacial Surgery (D.M.D.) in Joplin, MO
• Providers in Joplin, MO by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.