Individual provider Active NPI

Matthew William Fluegge, D.D.S.

  • General Practice Dentistry
  • East Wenatchee, WA
National Provider Identifier
1922104579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008984 Issued in WA
Practice address
476 Grant Rd
East Wenatchee, WA 98802-5336
Phone
(509) 888-3384
Fax
(509) 888-3385
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00008984 WA Primary

Addresses

Primary practice location

476 Grant Rd
East Wenatchee, WA 98802-5336

Mailing address

476 Grant Rd
East Wenatchee, WA 98802-5336
Phone (509) 888-3384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fluegge Family Dentistry General Practice Current Accepting new patients

Locations

476 Grant Rd
East Wenatchee, WA 98802
Phone (509) 888-3384

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922104579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 GRANT RD",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025336",
            "telephone_number": "509-888-3384",
            "fax_number": "509-888-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 GRANT RD",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025336",
            "telephone_number": "509-888-3384",
            "fax_number": "509-888-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUEGGE",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.