NPIMap

Organization Active NPI

Jeffrey W Mathews DDS PLLC

Doing business as Goodlettsville Family Dental

  • Dentist
  • Goodlettsville, TN
National Provider Identifier
1902655087
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JEFFREY W MATHEWS DDS PLLC
Doing business as
Goodlettsville Family Dental
Practice address
919 Conference Dr Ste 5
Goodlettsville, TN 37072-1924
Phone
(615) 855-0087
Fax
(615) 855-0078
NPI assigned
May 13, 2024
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JEFFREY W MATHEWS DDS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Jeffrey Wilson Mathews, DDSNPI 1265705644
Title
Doctor/Owner
Phone
(615) 944-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

919 Conference Dr Ste 5
Goodlettsville, TN 37072-1924

Mailing address

919 Conference Dr Ste 5
Goodlettsville, TN 37072-1924
Phone (615) 855-0087

Other identifiers 3

IdentifierTypeStateIssuer
1013577063OtherTNDR. KANG
1265705644OtherTNDR. MATHEWS
1932658994OtherTNDR. KELLEY

Other names 1

  • Goodlettsville Family Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Jeffrey W Mathews DDS PLLC

Practitioners & affiliated clinicians

Practitioners 3

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": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1902655087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONFERENCE DR STE 5",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721924",
            "telephone_number": "615-855-0087",
            "fax_number": "615-855-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONFERENCE DR STE 5",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721924",
            "telephone_number": "615-855-0087",
            "fax_number": "615-855-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W MATHEWS DDS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY W MATHEWS DDS PLLC",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "615-944-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. KANG",
            "identifier": "1013577063",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MATHEWS",
            "identifier": "1265705644",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. KELLEY",
            "identifier": "1932658994",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodlettsville Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goodlettsville Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.