Matthew R. Healy D.D.S., P.a.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60502 Issued in KS

Legal business name

MATTHEW R. HEALY D.D.S., P.A.

Practice address

3933 N Maize Rd
Suite 200
Maize, KS 67101-9618

Phone

(316) 202-0140

Fax

(316) 202-0141

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Healy, DDS

Title

President

Phone

(316) 202-0140

Specialties & licenses 1

Addresses

Other names 1

• Tiny Teeth Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1770014904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 N MAIZE RD",
            "address_2": "SUITE 200",
            "city": "MAIZE",
            "state": "KS",
            "postal_code": "671019618",
            "telephone_number": "316-202-0140",
            "fax_number": "316-202-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 N MAIZE RD",
            "address_2": "SUITE 200",
            "city": "MAIZE",
            "state": "KS",
            "postal_code": "671019618",
            "telephone_number": "316-202-0140",
            "fax_number": "316-202-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R. HEALY D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-202-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "60502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiny Teeth Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Meryl Elizabeth Miller, D.C.
• Janelle Myers

• All providers in Maize, KS
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.