Individual provider Active NPI

Matthew C Davis, D.D.S.

  • Dentist
  • Glenview, IL
National Provider Identifier
1790803757
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
1775 Glenview Rd
Suite 208
Glenview, IL 60025-2956
Phone
(847) 729-8400
Fax
(847) 729-8408
NPI assigned
Mar 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL Primary
Endodontics 1223E0200X IL

Addresses

Primary practice location

1775 Glenview Rd
Suite 208
Glenview, IL 60025-2956

Mailing address

1775 Glenview Rd
Suite 208
Glenview, IL 60025-2956
Phone (847) 729-8400

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
Yes, effective Aug 24, 2015 through Aug 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.025509ILMDDentist
021.002008ILMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Endodontics of Glenview, LTD Endodontics Past Accepting new patients
Doctor Charles D Mullenix MD SC PastSince Jan 1, 1994 Accepting new patients

Organizations & group practices 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1790803757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD",
            "address_2": "SUITE 208",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252956",
            "telephone_number": "847-729-8400",
            "fax_number": "847-729-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD",
            "address_2": "SUITE 208",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252956",
            "telephone_number": "847-729-8400",
            "fax_number": "847-729-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.