Michael David Matthias, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

28796 Issued in PA

Practice address

3844 Kennett Pike Ste 206
Greenville, DE 19807-2305

Phone

(302) 575-0100

Fax

(302) 575-1933

NPI assigned

Nov 28, 2006

Reactivated

Oct 10, 2008

Last updated

Aug 3, 2009By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Dentistry Today

  • General Practice Dentistry
  • Greenville, DE
  • NPI 1508991043
  NPD (past) Authorized official
• Your Sleep Solution Inc

  • Dental Clinic/Center
  • Greenville, DE
  • NPI 1104312925
  Authorized official Same address or phone

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1881760288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 KENNETT PIKE",
            "address_2": "SUITE 206",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198072305",
            "telephone_number": "302-575-0100",
            "fax_number": "302-575-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 KENNETT PIKE STE 206",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198072305",
            "telephone_number": "302-575-0100",
            "fax_number": "302-575-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIAS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-08-03",
        "deactivation_date": "2007-03-02",
        "reactivation_date": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001143",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028796L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "28796",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "1143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson University Physicians
• Jillian E Banbury MD PA
• Giannina Figueroa Johnson, LPCMH
• Timothy Hugh Langan, M.D.
• Lepapillon Boutique
• Samata McClure, DO, MPH
• Mary Elizabeth Nasr, PHARMD
• Asit Patel, M.D
• Julia L Powell, MD
• John Nickolas Psaltis, OD

• Dentist in Greenville, DE
• Providers in Greenville, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.