Ashton Todd Matthews, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16209 Issued in TX

Practice address

1509 Emerald Pkwy
Ste. 105
College Station, TX 77845-5501

Phone

(979) 696-8681

Fax

(979) 680-1330

NPI assigned

Oct 4, 2006

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 TX

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacob a Rendon, D.D.S., P.C.

  dba Matthews Dental Group

  • Dental Clinic/Center
  • College Station, TX
  • NPI 1316736879
  NPD (past)
• Matthews Dental Group, PA

  • General Practice Dentistry
  • College Station, TX
  • NPI 1922245695
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912092974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 TUCKER NUCK",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459368",
            "telephone_number": "979-690-6763",
            "fax_number": "979-690-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 EMERALD PKWY",
            "address_2": "STE. 105",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455501",
            "telephone_number": "979-696-8681",
            "fax_number": "979-680-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ASHTON",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Albert Mason Jr., M.D.
• Adel A Massoud, MD
• Joel Mathai Jr.
• Kristi Matlock, LCSW
• Matthews Dental Group, PA
• Kenneth E Matthews, MD
• Michael Norman Mattila
• Dylan Supak Matzke
• Blake Maxson
• Elizabeth Lauren May, PHARMD

• General Practice Dentistry in College Station, TX
• Providers in College Station, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.