NPIMap

Organization Active NPI

Duncan F Matheson III DDS PA

  • General Practice Dentistry
  • Diamondhead, MS
National Provider Identifier
1912838764
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DUNCAN F MATHESON III DDS PA
Practice address
5404 Indian Hill Blvd
Diamondhead, MS 39525-3334
Phone
(228) 255-2543
NPI assigned
May 28, 2026
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Duncan F Matheson IV, DDSNPI 1073729307
Title
Dentist
Phone
(228) 255-2543

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5404 Indian Hill Blvd
Diamondhead, MS 39525-3334

Mailing address

5404 Indian Hill Blvd
Diamondhead, MS 39525-3334
Phone (228) 255-2543

National Provider Directory

National Provider Directory

Locations

5404 Indian Hill Blvd
Diamondhead, MS 39525
Phone (228) 255-2543

Practitioners & affiliated clinicians

Practitioners 2

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": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1912838764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 INDIAN HILL BLVD",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253334",
            "telephone_number": "228-255-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 INDIAN HILL BLVD",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253334",
            "telephone_number": "228-255-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN F MATHESON III DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "MATHESON",
        "authorized_official_first_name": "DUNCAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "228-255-2543",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamondhead, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.