Shelley Fay Mathews, RDH ECP II

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10670 Issued in KS

Practice address

21 N 12TH St Ste 300
Kansas City, KS 66102-5105

Phone

(913) 342-2552

Fax

(913) 428-8999

NPI assigned

Jun 12, 2013

Sex

Female

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1861830853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 300",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025105",
            "telephone_number": "913-342-2552",
            "fax_number": "913-428-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 300",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025105",
            "telephone_number": "913-342-2552",
            "fax_number": "913-428-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "SHELLEY",
        "middle_name": "FAY",
        "name_prefix": "Ms.",
        "credential": "RDH ECP II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KS",
            "license": "10670",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2011037744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Fernando Mata
• Kimberly Mata
• Janeth Alejandra Matar
• Connor James Mathes, MD
• Gregory S Mathews Jr., CRNA
• Thomas Mathews, MD
• Gracia Matlack, PT, DPT
• Scott Matson, M.D.
• Matthew G. Rivard, D.D.S., P.a.
• Joshua Carl Matthias, DO

• Dental Hygienist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Dental Hygienist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.