NPIMap

Organization Active NPI

Matthew Jeffers DDS

  • Dentist
  • Ukiah, CA
National Provider Identifier
1861829756
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62628 Issued in CA
Legal business name
MATTHEW JEFFERS DDS
Practice address
1119 S State St
Ukiah, CA 95482-6426
Phone
(707) 462-2993
NPI assigned
Oct 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Matthew Jeffers, DDSNPI 1962883066
Title
Dentist
Phone
(707) 490-7014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 62628 CA Primary

Addresses

Primary practice location

1119 S State St
Ukiah, CA 95482-6426

Mailing address

1119 S State St
Ukiah, CA 95482-6426

National Provider Directory

National Provider Directory

Locations

1119 S State St
Ukiah, CA 95482
Phone (707) 462-2993

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1861829756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 S STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 S STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826426",
            "telephone_number": "707-462-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW JEFFERS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "707-490-7014",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.