Carla Matwijecky Damon, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

28646 Issued in TX

Practice address

375 Municipal Dr Ste 104
Richardson, TX 75080-3543

Phone

(972) 669-3663

NPI assigned

Feb 22, 2012

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.

• Dr Robert E Morgan

  • Pediatric Dentistry
  • Richardson, TX
  • NPI 1730309402
  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821361858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DR STE 104",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803543",
            "telephone_number": "972-669-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DR STE 104",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803543",
            "telephone_number": "972-669-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3219 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750628805",
            "country_code": "US",
            "telephone_number": "972-252-7569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMON",
        "first_name": "CARLA",
        "middle_name": "MATWIJECKY",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas-Ft Worth Retina LLC
• Dalmedics Inc
• Cheri Dalton
• Sejal Bindesh Damania, PT
• Damon Dental and Implant Center, PLLC
• Diane Carol Damrau, RPH
• Dan Hardin PLLC
• Camesha Dandie
• Dane Hoang D.D.S., M.S & Associates
• Francine Daner, LPC/LMFT

• Pediatric Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.