NPIMap

Organization Active NPI

Raymond a Maturo DDS PC

  • Pediatric Dentistry
  • Ann Arbor, MI
National Provider Identifier
1912026808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901013223 Issued in MI
Legal business name
RAYMOND A MATURO DDS PC
Practice address
2074 S Main St
Ann Arbor, MI 48103-6962
Phone
(734) 663-2490
Fax
(734) 663-5137
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raymond Anthony Maturo, DDSNPI 1699894576
Title
President
Phone
(734) 663-2490

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 2901013223 MI Primary

Addresses

Primary practice location

2074 S Main St
Ann Arbor, MI 48103-6962

Mailing address

2074 S Main St
Ann Arbor, MI 48103-6962
Phone (734) 663-2490

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912026808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036962",
            "telephone_number": "734-663-2490",
            "fax_number": "734-663-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036962",
            "telephone_number": "734-663-2490",
            "fax_number": "734-663-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A MATURO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATURO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-663-2490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901013223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • 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.