Matthew Cardinalli a Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

25868 Issued in CA

Legal business name

MATTHEW CARDINALLI A DENTAL CORP

Practice address

4255 Pacific Ave
14
Stockton, CA 95207

Phone

(209) 478-7898

Fax

(209) 473-2634

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Peter Cardinalli

Title

President

Phone

(209) 478-7898

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fausto Renato Prato, D.D.S.

  • General Practice Dentistry
  • Stockton, CA
  • NPI 1659598373
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902947435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 PACIFIC AVE",
            "address_2": "14",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-478-7898",
            "fax_number": "209-473-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 PACIFIC AVE",
            "address_2": "14",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-478-7898",
            "fax_number": "209-473-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW CARDINALLI A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDINALLI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-478-7898",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "25868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matrix Rehabilitation, Inc.
• Matrix Rehabilitation, Inc.
• Matrix Rehabilitation, Inc.
• Ashley Matt
• Elizabeth Matteoni, MA
• Antoine Matthews
• Chelsey Matthews, M.S., CCC-SLP
• Sherita Denah Matthews, PSYCH TECH
• Dazire Matthis
• Paige Mattox

• Dentist in Stockton, CA
• Providers in Stockton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.