Matthew Comiskey, DDS

Primary specialty

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

License

8538 Issued in NC

Practice address

5325 Vinning St NW Ste 203
Concord, NC 28027-2946

Phone

(704) 785-8060

NPI assigned

Jul 5, 2007

Last updated

Oct 6, 2023By 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 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 23, 2013 through Nov 23, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mt Comiskey DDS PA

  dba Comiskey Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Concord, NC
  • NPI 1043086739
  NPD Authorized official
• PD Sharma DMD PA

  dba Oral Facial & Implant Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Concord, NC
  • NPI 1225292790
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1750589362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 VINNING ST NW STE 203",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272946",
            "telephone_number": "704-785-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 VINNING ST NW STE 203",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272946",
            "telephone_number": "704-785-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMISKEY",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "3566",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "8538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew William Collver, PHARMD
• Henry Gerard Colmer, MD
• Kairee Mercedez Colon
• Coltrane Life Center, Inc.
• Rocco Anthony Colucci, DMD
• Sara Jane Commander, PA
• Jack Harrington Commeville
• Community Partners Homecare LLC
• Community Specialized Services, Inc.
• Clifford Clyde Compton III, DDSPA

• Oral & Maxillofacial Surgery (D.M.D.) in Concord, NC
• Providers in Concord, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.