NPIMap

Organization Active NPI

Matthew Steven Yarborough

  • Health Maintenance Organization
  • Mission, TX
National Provider Identifier
1730581174
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
30403 Issued in TX
Legal business name
MATTHEW STEVEN YARBOROUGH
Practice address
832 Rio Grande Dr
Mission, TX 78572-7437
Phone
(415) 306-1006
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Matthew Steven Yarborough, DDSNPI 1043613755
Title
Owner
Phone
(415) 306-1006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 30403 TX Primary

Addresses

Primary practice location

832 Rio Grande Dr
Mission, TX 78572-7437

Mailing address

832 Rio Grande Dr
Mission, TX 78572-7437
Phone (415) 306-1006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1730581174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 RIO GRANDE DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727437",
            "telephone_number": "415-306-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 RIO GRANDE DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727437",
            "telephone_number": "415-306-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW STEVEN YARBOROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "YARBOROUGH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-306-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "30403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.