Scott Allen Matzenbacher, D.D.S.,M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7192 Issued in KS

Practice address

USA Dental Activity
2776 Ringgold Rd
Fort Sill, OK 73503

Phone

(580) 442-3905

Fax

(580) 442-4002

NPI assigned

Dec 3, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

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.

Enrollment records 1

Specialty

Dentist

Education

University of Missouri, Kansas City, School of Medicine, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Northeastern Tribal Health System

  • Clinic/Center
  • Miami, OK
  • NPI 1871522532

  TX

  Medicare reassignment NPD
• Claremore Indian Hospital

  • General Acute Care Hospital
  • Claremore, OK
  • NPI 1073527842
  NPD (past)

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1770567653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA DENTAL ACTIVITY",
            "address_2": "2776 RINGGOLD RD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "73503",
            "telephone_number": "580-442-3905",
            "fax_number": "580-442-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA DENTAL ACTIVITY",
            "address_2": "2776 RINGGOLD RD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "73503",
            "telephone_number": "580-442-3905",
            "fax_number": "580-442-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZENBACHER",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-03",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "7192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Alvarez Martinez
• Holley Ann Martinez
• Terry Martin Martinez Sr., LCSW
• Rochelle E Mason
• Nancy M Matula Veit, ARNP
• Martha C Mauney, P.A-C
• Lindsey Maxwell
• Glenn Howard Mayes, LCSW
• Micheal M McAnally, PHARMACIST
• Wendolyn Renee McCall, APRN-CNP

• Periodontics in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Periodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.