Active NPI
Matthew S Lawson, D.M.D.
- Endodontics
- Leland, NC
National Provider Identifier
1871705442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 8594
- Practice address
- 1022 Grandiflora Dr
Suite 120
Leland, NC 28451-7007 - Phone
- (910) 383-3100
- Fax
- (910) 383-3133
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3921 | SC | |
| Endodontics | 1223E0200X | 8594 | NC | Primary |
Addresses
Primary practice location
1022 Grandiflora Dr
Suite 120
Leland, NC 28451-7007
Mailing address
1022 Grandiflora Dr
Suite 120
Leland, NC 28451-7007
Phone (910) 383-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8594 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1871705442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 GRANDIFLORA DR",
"address_2": "SUITE 120",
"city": "LELAND",
"state": "NC",
"postal_code": "284517007",
"telephone_number": "910-383-3100",
"fax_number": "910-383-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 GRANDIFLORA DR",
"address_2": "SUITE 120",
"city": "LELAND",
"state": "NC",
"postal_code": "284517007",
"telephone_number": "910-383-3100",
"fax_number": "910-383-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "MATTHEW",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "SC",
"license": "3921",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NC",
"license": "8594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.