Matias Dental Group LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MATIAS DENTAL GROUP LLC

Practice address

5247 Wisconsin Ave NW Ste 3a
Washington, DC 20015-2059

Phone

(202) 362-7418

Fax

(202) 362-7410

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Thiago Matias, DDSNPI 1225341647

Title

Owner

Phone

(240) 483-8486

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thiago De Oliveira Matias, DDS

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1225341647
  NPD Authorized official
• Tseday Mimi Mekbib, DDS

  • Dentist
  • Washington, DC
  • NPI 1124161161
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1780301465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 WISCONSIN AVE NW STE 3A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152059",
            "telephone_number": "202-362-7418",
            "fax_number": "202-362-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 WISCONSIN AVE NW STE 3A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152059",
            "telephone_number": "202-362-7418",
            "fax_number": "202-362-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATIAS DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "MATIAS",
        "authorized_official_first_name": "THIAGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-483-8486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arjun Mathur
• Natasha Mathur
• Raj Pratap Mathur, MD
• Jeevan Mathura, MD
• Jeevan Mathura Jr., MD
• Ali R Matini, OD
• Omolemo Josephine Matloga, OTD
• Paola Alexandra Matos Franceschini
• Samantha Matos, APRN MSN FNP-C
• James Lubega Matovu

• Dentist in Washington, DC
• Providers in Washington, DC by specialty
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.