Matthew N Maxfield, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

8576847-9924 Issued in UT

Practice address

6710 S Blackstone Rd
Ste 104
Salt Lake City, UT 84121-6232

Phone

(801) 943-8703

NPI assigned

Jun 12, 2009

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)

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.

• Judd E Partridge DMD LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Salt Lake City, UT
  • NPI 1043615156
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1851528244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 S BLACKSTONE RD",
            "address_2": "STE 104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216232",
            "telephone_number": "801-943-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 S BLACKSTONE RD",
            "address_2": "STE 104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216232",
            "telephone_number": "801-943-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "MATTHEW",
        "middle_name": "N",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "UT",
            "license": "8576847-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Maxfield
• Ellen M. Maxfield, MS, CHES
• Kylee Paige Maxfield, MD
• Makenna Maxfield
• Marilee Maxfield
• Norman A Maxfield, D.D.S., M.S.
• Rachel Anne Maxfield, FNP
• Christopher Ian Maxwell, M.D.
• Kevin Maxwell, M.D.
• Kevin Maxwell

• Oral & Maxillofacial Surgery (D.M.D.) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.