Individual provider Active NPI

Matthew Gary Roper, DMD

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1801085444
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7288 Issued in AZ
Practice address
4902 S Val Vista Dr Ste 107
Gilbert, AZ 85298-7329
Phone
(480) 963-9900
NPI assigned
Oct 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 D7288 AZ Primary

Addresses

Primary practice location

4902 S Val Vista Dr Ste 107
Gilbert, AZ 85298-7329

Mailing address

4902 S Val Vista Dr Ste 107
Gilbert, AZ 85298-7329
Phone (480) 963-9900

Other practice location 1

5440 E Southern Ave Ste 107
Mesa, AZ 85206-2779
Phone (480) 830-3344

Other practice location 2

40815 N Ironwood Dr # A102
San Tan Valley, AZ 85140-7006
Phone (480) 457-1977

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
D7288AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Valencia Dental Care General Practice Current Accepting new patients
Vista Dorada Dental General Practice PastSince Apr 16, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1801085444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 S VAL VISTA DR STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852987329",
            "telephone_number": "480-963-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 S VAL VISTA DR STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852987329",
            "telephone_number": "480-963-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5440 E Southern Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062779",
            "country_code": "US",
            "telephone_number": "480-830-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40815 N Ironwood Dr # A102",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407006",
            "country_code": "US",
            "telephone_number": "480-457-1977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROPER",
        "first_name": "MATTHEW",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.