Individual provider Active NPI

Jan Alexis Mattei-Molini, DDS

  • General Practice Dentistry
  • Lajas, PR
National Provider Identifier
1851494199
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
02152 Issued in PR
Practice address
#80 Calle 65 Infanteria Sur
Lajas, PR 00667
Phone
(787) 899-4925
NPI assigned
Sep 5, 2006
Last updated
Sep 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 02152 PR Primary

Addresses

Primary practice location

#80 Calle 65 Infanteria Sur
Lajas, PR 00667

Mailing address

PO Box 1521
Lajas, PR 00667-1521
Phone (787) 899-4925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20160205000448 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416251830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02152PRMDGeneral Practice Dentistry
2152PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paula C Servicios Dentaes, CSP General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jan.mattei@costasalud.directbygreenway.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1851494199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1521",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006671521",
            "telephone_number": "787-899-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#80 CALLE 65 INFANTERIA SUR",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEI-MOLINI",
        "first_name": "JAN",
        "middle_name": "ALEXIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "02152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

Verify at the official NPI Registry.