NPIMap

Organization Active NPI

Daniel W Mathews DMD PC

  • Dentist
  • Montgomery, AL
National Provider Identifier
1891926382
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3600 Issued in AL
Legal business name
DANIEL W MATHEWS DMD PC
Practice address
4130 Carmichael Rd
Suite B
Montgomery, AL 36106-3727
Phone
(334) 277-8900
Fax
(334) 819-8698
NPI assigned
Jul 31, 2009
Last updated
Jul 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Dr. Daniel W Mathews Sr., DMD
Title
Owner
Phone
(334) 277-8900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3600 AL Primary
Dentist 122300000X 5690 AL

Addresses

Primary practice location

4130 Carmichael Rd
Suite B
Montgomery, AL 36106-3727

Mailing address

4130 Carmichael Rd
Suite B
Montgomery, AL 36106-3727
Phone (334) 277-8900

National Provider Directory

National Provider Directory

Locations

4130 Carmichael Rd
Ste B
Montgomery, AL 36106
Phone (334) 277-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1891926382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 CARMICHAEL RD",
            "address_2": "SUITE B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063727",
            "telephone_number": "334-277-8900",
            "fax_number": "334-819-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 CARMICHAEL RD",
            "address_2": "SUITE B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063727",
            "telephone_number": "334-277-8900",
            "fax_number": "334-819-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL W MATHEWS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-277-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3600",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.