Matthew Parker Hickin, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN1856937 Issued in MA

Practice address

39 Cross St Ste 307
Peabody, MA 01960-1689

Phone

(978) 717-5819

NPI assigned

Oct 2, 2014

Last updated

Mar 14, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1851794978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HANCOCK ST APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144107",
            "telephone_number": "518-796-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CROSS ST STE 307",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601689",
            "telephone_number": "978-717-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKIN",
        "first_name": "MATTHEW",
        "middle_name": "PARKER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1856937",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02528600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Heller, M. D.
• Kathleen Henneberry, LMHC
• Erica Henrickson
• Korvachei Hernandez Sanchez
• Mercy Hernandez
• Lauren Pamela Hicks
• Jillian Higdon
• Cole Tanner Higgins
• Emilia Higinbotham
• Maureen Hilfinger, NP

• Periodontics in Peabody, MA
• Providers in Peabody, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.