Organization Active NPI

Matthew C DO DDS Inc

  • Dental Clinic/Center
  • Monterey, CA
National Provider Identifier
1770034514
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
45452 Issued in CA
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

Updated by the provider on Oct 17, 2016

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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.