Individual provider Active NPI

Erik C Mathys, DDS, MS

  • Periodontics
  • Greenwood Village, CO
National Provider Identifier
1821129586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
7226 Issued in CO
Practice address
6950 E Belleview Ave Ste 300
Greenwood Village, CO 80111-1629
Phone
(303) 741-3300
Fax
(303) 694-6270
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 7226 CO Primary

Addresses

Primary practice location

6950 E Belleview Ave Ste 300
Greenwood Village, CO 80111-1629

Mailing address

6950 E Belleview Ave Ste 300
Greenwood Village, CO 80111-1629
Phone (303) 741-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20151026000029 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7113236530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7226COMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821129586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 E BELLEVIEW AVE STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111629",
            "telephone_number": "303-741-3300",
            "fax_number": "303-694-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 E BELLEVIEW AVE STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111629",
            "telephone_number": "303-741-3300",
            "fax_number": "303-694-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHYS",
        "first_name": "ERIK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "7226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.