Alexander Matheson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D7176 Issued in AZ

Practice address

6601 N 27TH Ave
Phoenix, AZ 85017-1219

Phone

(602) 336-0061

Fax

(602) 336-0249

NPI assigned

Aug 24, 2007

Last updated

Aug 24, 2007By 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

Medicare enrollment (NPD)

Not 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.

• Bellissimo Smiles P.L.L.C.

  dba Bellissimo Dentistry and Implant Center

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1992661367
  NPD Authorized official
• Gomper's Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Phoenix, AZ
  • NPI 1043277569
  NPD (past)
• Gompers Habilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Phoenix, AZ
  • NPI 1437518537
  NPD (past)
• Kyle Ash DMD PC

  • General Practice Dentistry
  • Queen Creek, AZ
  • NPI 1528238169
  NPD (past)

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1740473578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171219",
            "telephone_number": "602-336-0061",
            "fax_number": "602-336-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171219",
            "telephone_number": "602-336-0061",
            "fax_number": "602-336-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "ALEXANDER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Ann Matheny, SURGICAL ASSISTATNT
• Jacqueline Mather
• Laura Mather, PHYSICIAN ASSISTANT
• Marcus Andrew Mather, LCSW
• Sylvia Matherly, C.P.N.P.
• Karla Matheu Sosa, BCBA, LBA
• Jacob Matheus Horn
• Mathew LLC
• Dillon Mathew-Gilmore
• Anna Rekha Mathew

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.