Active NPI
Matthew Garbin, D.M.D.
- Dentist
- Kennett Square, PA
National Provider Identifier
1821542051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041108
- Practice address
- 687 Unionville Rd
Kennett Square, PA 19348-4717 - Phone
- (610) 444-0750
- NPI assigned
- Aug 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DS041108 | PA | Primary |
Addresses
Primary practice location
687 Unionville Rd
Kennett Square, PA 19348-4717
Mailing address
687 Unionville Rd
Kennett Square, PA 19348-4717
Phone (610) 444-0750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170202001579 | PA | Order and Referring Only - Dentist | 2860775541 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1821542051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 UNIONVILLE RD",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193484717",
"telephone_number": "610-444-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 UNIONVILLE RD",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193484717",
"telephone_number": "610-444-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBIN",
"first_name": "MATTHEW",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.