Joseph E. Matsko, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6947 Issued in NC

Practice address

3450 Forestdale Dr
Burlington, NC 27215-9142

Phone

(336) 226-7115

Fax

(336) 570-1434

NPI assigned

Jan 9, 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1912985011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FORESTDALE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159142",
            "telephone_number": "336-226-7115",
            "fax_number": "336-570-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 FORESTDALE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159142",
            "telephone_number": "336-226-7115",
            "fax_number": "336-570-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSKO",
        "first_name": "JOSEPH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1433412",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "902N6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902N6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Marvin, MSW, LCSW
• Mary Hanna Makhlouf DMD Ms PA
• Mary Lynne McElhaney, DDS
• Rebekah Mason, LCSW-A
• Javed Masoud, MD
• Robert Gentry Matthews, D.D.S
• Kathleen Maxfield, M.S.CCC-SLP
• Maxim Habilitation Services, LLC
• Maxim Healthcare Services, Inc.
• Andrea Rose Mazzoni, M.D.

• General Practice Dentistry in Burlington, NC
• Providers in Burlington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.