Individual provider Active NPI

Mathea Host

  • General Practice Dentistry
  • Dover, OH
National Provider Identifier
1780477398
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.027965 Issued in OH
Practice address
403 Monroe St
Dover, OH 44622-2042
Phone
(330) 343-2322
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.027965 OH Primary

Addresses

Primary practice location

403 Monroe St
Dover, OH 44622-2042

Mailing address

540 Ladyne Ave NW
Bolivar, OH 44612-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.027965OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wakefield Dental of Dover LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

403 Monroe St
Dover, OH 44622
Phone (330) 343-0442

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1780477398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LADYNE AVE NW",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "446129777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MONROE ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222042",
            "telephone_number": "330-343-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOST",
        "first_name": "MATHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.