Robert Gentry Matthews, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

6700 Issued in NC

Practice address

1636 Memorial Dr
Burlington, NC 27215-3518

Phone

(336) 227-6636

Fax

(336) 227-8807

NPI assigned

May 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1902063142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 MEMORIAL DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153518",
            "telephone_number": "336-227-6636",
            "fax_number": "336-227-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 MEMORIAL DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153518",
            "telephone_number": "336-227-6636",
            "fax_number": "336-227-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ROBERT",
        "middle_name": "GENTRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Hanna Makhlouf DMD Ms PA
• Mary Lynne McElhaney, DDS
• Rebekah Mason, LCSW-A
• Javed Masoud, MD
• Joseph E. Matsko, DMD
• Kathleen Maxfield, M.S.CCC-SLP
• Maxim Habilitation Services, LLC
• Maxim Healthcare Services, Inc.
• Andrea Rose Mazzoni, M.D.
• Herb McCandless Jr.

• Dentist in Burlington, NC
• Providers in Burlington, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.