Individual provider Active NPI

Ryan Paul Matteson, DNP, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1912474479
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139501 Issued in TX
Practice address
3247 Dawes Dr
Dallas, TX 75211-5760
Phone
(214) 330-7767
Fax
(214) 330-7780
NPI assigned
Nov 1, 2018
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139501 TX Primary

Addresses

Primary practice location

3247 Dawes Dr
Dallas, TX 75211-5760

Mailing address

2821 Buckthorn Rd
Northlake, TX 76226-3242
Phone (940) 465-9748

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626000849 TX Practitioner - Nurse Practitioner 3870915499 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical PA CurrentSince Apr 22, 2014 Accepting new patients
Christine Holland MD PA CurrentSince Dec 15, 2021 Accepting new patients

Locations

941 E Park Row Dr
Arlington, TX 76010
Phone (817) 522-0122

3247 Dawes Dr
Dallas, TX 75211
Phone (214) 330-7767

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1912474479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 BUCKTHORN RD",
            "city": "NORTHLAKE",
            "state": "TX",
            "postal_code": "762263242",
            "telephone_number": "940-465-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 DAWES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752115760",
            "telephone_number": "214-330-7767",
            "fax_number": "214-330-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "RYAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.