Active NPI
Matthew B Richman, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Goldsboro, NC
National Provider Identifier
1780831487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10474
- Practice address
- 2300 Wayne Memorial Dr
Goldsboro, NC 27534-1726 - Phone
- (919) 581-9770
- Fax
- (919) 581-9771
- NPI assigned
- Aug 25, 2008
- Last updated
- Feb 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 8183 | AZ | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10474 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2300 Wayne Memorial Dr
Goldsboro, NC 27534-1726
Mailing address
2300 Wayne Memorial Dr
Goldsboro, NC 27534-1726
Phone (919) 581-9770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 9, 2016 through Aug 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8183 | AZ | MD | Chiropractor |
| 10474 | NC | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilbert Sonoma Oral Surgery, P.C. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Brandon D Kofford DMD and Uday N Reebye DMD PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Reebye Park & Richman DDS PLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Sonoma Oral & Facial Surgery, PLLC | Past | Accepting new patients | |
| Reebye, Park & Richman DDS PLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Reebye Park & Richman DDS PLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Triangle Implant Center Wilson
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Oral and Maxillofacial Surgery
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dba Triangle Implant Center
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- Oral and Maxillofacial Surgery (Dentist)
- Gilbert, AZ
- NPI 1083369334
-
- Oral and Maxillofacial Surgery Clinic/Center
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- NPI 1477063881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1780831487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341726",
"telephone_number": "919-581-9770",
"fax_number": "919-581-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341726",
"telephone_number": "919-581-9770",
"fax_number": "919-581-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMAN",
"first_name": "MATTHEW",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AZ",
"license": "8183",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "10474",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.