Individual provider Active NPI

Matthew B Richman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Goldsboro, NC
National Provider Identifier
1780831487
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10474 Issued in NC
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
8183AZMDChiropractor
10474NCMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Sonoma Oral Surgery, P.C. Oral and Maxillofacial Surgery PastSince Feb 24, 2022 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 PastSince Sep 24, 2023 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.

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

Verify at the official NPI Registry.