Chet Thomas Matsuura, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12142 Issued in TN

Practice address

248 N Peters Rd Ste 1
Knoxville, TN 37923-4925

Phone

(865) 691-0918

NPI assigned

Mar 25, 2020

Last updated

May 30, 2025By the provider in NPPES

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

Enrolled in TN

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

Specialty

Oral Surgery

Education

Roseman Univ of HLTH Sciences, Col of Dental Med, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pickett Oral Surgery PCGroup PAC ID 7719149194, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pickett Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Knoxville, TN
  • NPI 1275809394
  Medicare reassignment Care Compare group NPD
• Regional Trauma Surgeons

  • Trauma Surgery Physician
  • Knoxville, TN
  • NPI 1720007941
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1841827177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 N PETERS RD STE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234925",
            "telephone_number": "865-691-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 N PETERS RD STE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234925",
            "telephone_number": "865-691-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUURA",
        "first_name": "CHET",
        "middle_name": "THOMAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "12142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Mark Mathien, M.D.
• Amanda Mathieu
• Rachel H Mathis, M.D.
• Sarah R Mathis, RD
• Brandi K Matson, LPC
• Karla J Matteson, PHD
• Jeffrey David Matthes, MD
• Abigail Leighann Matthews
• Ashley Victoria Matthews, RPH
• Ellen Matthews, PA

• Oral and Maxillofacial Surgery (Dentist) in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.