Individual provider Active NPI

Matthew Cilderman, D.D.S.

  • Dentist
  • Yorba Linda, CA
National Provider Identifier
1740445493
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57152 Issued in CA
Practice address
4848 Lakeview Ave Ste 102
Yorba Linda, CA 92886-3453
Phone
(714) 695-9992
Fax
(714) 695-9994
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57152 CA Primary

Addresses

Primary practice location

4848 Lakeview Ave Ste 102
Yorba Linda, CA 92886-3453

Mailing address

4848 Lakeview Ave Ste 102
Yorba Linda, CA 92886-3453
Phone (714) 695-9992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
57152CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew L Cilderman DDS Inc 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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1740445493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 LAKEVIEW AVE STE 102",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863453",
            "telephone_number": "714-695-9992",
            "fax_number": "714-695-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 LAKEVIEW AVE STE 102",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863453",
            "telephone_number": "714-695-9992",
            "fax_number": "714-695-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILDERMAN",
        "first_name": "MATTHEW",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.