Individual provider Active NPI

Matthew Orth, D.D.S.

  • General Practice Dentistry
  • Hurst, TX
National Provider Identifier
1790979573
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20956 Issued in TX
Practice address
1615 Precinct Line Rd Ste 101
Hurst, TX 76054-3345
Phone
(817) 849-5884
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 20956 TX Primary

Addresses

Primary practice location

1615 Precinct Line Rd Ste 101
Hurst, TX 76054-3345

Mailing address

1615 Precinct Line Rd Ste 101
Hurst, TX 76054-3345
Phone (817) 849-5884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622001884 TX Order and Referring Only - DentistPractitioner - Dentist 1153612155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20956TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin G. Bui, DDS General Practice CurrentSince Oct 27, 2024 Accepting new patients

Locations

1615 Precinct Line Rd
Ste 101
Hurst, TX 76054
Phone (817) 281-4910

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1790979573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PRECINCT LINE RD STE 101",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543345",
            "telephone_number": "817-849-5884",
            "fax_number": "817-849-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PRECINCT LINE RD STE 101",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543345",
            "telephone_number": "817-849-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTH",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.