Active NPI
Matthew C DO DDS Inc
- Dental Clinic/Center
- Monterey, CA
National Provider Identifier
1770034514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 45452
- Legal business name
- MATTHEW C DO DDS INC
- Practice address
- 100 Park Ave
Monterey, CA 93940-3324 - Phone
- (831) 373-4116
- NPI assigned
- Oct 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew C DO, DDS
- Title
- President
- Phone
- (831) 373-4116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 45452 | CA | Primary |
Addresses
Primary practice location
100 Park Ave
Monterey, CA 93940-3324
Mailing address
100 Park Ave
Monterey, CA 93940-3324
Phone (831) 373-4116
National Provider Directory
National Provider Directory- Tax ID family
- Matthew C DO DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Monterey, CA
- NPI 1194872499
Locations
100 Park Ave
Monterey, CA 93940
Phone (209) 535-3469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476662400000",
"number": "1770034514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK AVE",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403324",
"telephone_number": "831-373-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PARK AVE",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403324",
"telephone_number": "831-373-4116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW C DO DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A",
"authorized_official_last_name": "DO",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "831-373-4116",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "45452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.