Alfredo Geoffrey Mateo, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32833 Issued in TX

Practice address

893 N Interstate 35 Ste 200
Round Rock, TX 78664-4311

Phone

(512) 310-9374

NPI assigned

Jun 1, 2016

Sex

Male

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.

• Geoffrey Mateo, DMD, LLC

  • Dental Clinic/Center
  • Boca Raton, FL
  • NPI 1528999208
  NPD Authorized official

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1831547686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786302828",
            "telephone_number": "408-781-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 N INTERSTATE 35 STE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644311",
            "telephone_number": "512-310-9374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Winslow",
            "state": "AZ",
            "postal_code": "860472169",
            "country_code": "US",
            "telephone_number": "928-289-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEO",
        "first_name": "ALFREDO",
        "middle_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Round Rock Op LLC
• Brian Curtis Massey, M.D.
• Heather Nicole Mast, CNS
• Dalia Mata
• Jessica Matchett, BCBA
• Koshy Mathews Mathai, M.D.
• Asha Mathew, M.D.
• Hannah Rebekah Mathew
• Donna Mathews
• Sarah Caitlin Mathews, CCC-SLP

• General Practice Dentistry in Round Rock, TX
• Providers in Round Rock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.