Jane S Mathen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4049-015 Issued in WI

Practice address

2315 W Main St
Appleton, WI 54911-4178

Phone

(920) 735-9366

Fax

(920) 735-9616

NPI assigned

Mar 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elite Smiles Little Chute, LLC

  • General Practice Dentistry
  • Little Chute, WI
  • NPI 1881219343
  NPD (past)
• Fox Valley Dental Assoc. LTD.

  • General Practice Dentistry
  • Appleton, WI
  • NPI 1447380811
  NPD (past)

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1801194295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W MAIN ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114178",
            "telephone_number": "920-735-9366",
            "fax_number": "920-735-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W MAIN ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114178",
            "telephone_number": "920-735-9366",
            "fax_number": "920-735-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEN",
        "first_name": "JANE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4049-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelia B Masak, RN, APNP
• John George Masak, D.D.S.
• Holly Mason, MSW, LCSW
• Karrie Elizabeth Matejka, MS, CCC-SLP
• Nancy Matelski
• Christopher E Matt, DC
• Ashley A Mattek, LPC
• Kevin M. Matthews, CCC-SLP
• Greg E. Matz, P.T.
• Kammye Mareen Matz, PT, CLT-LANA

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.