Active NPI
Robert J. Matkovich, D.D.S. Inc.
- General Practice Dentistry
- Chula Vista, CA
National Provider Identifier
1922191642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27173
- Legal business name
- ROBERT J. MATKOVICH, D.D.S. INC.
- Practice address
- 688 Old Telegraph Canyon Road
Chula Vista, CA 91910-6536 - Phone
- (619) 216-2121
- Fax
- (619) 216-2122
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Aaron R. Valencia
- Title
- Business Administrator
- Phone
- (619) 216-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27173 | CA | Primary |
Addresses
Primary practice location
688 Old Telegraph Canyon Road
Chula Vista, CA 91910-6536
Mailing address
688 Old Telegraph Canyon Road
Chula Vista, CA 91910-6536
Phone (619) 216-2121
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Chula Vista, CA
- NPI 1275195661
-
- General Practice Dentistry
- Chula Vista, CA
- NPI 1578712485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922191642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 OLD TELEGRAPH CANYON ROAD",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106536",
"telephone_number": "619-216-2121",
"fax_number": "619-216-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "688 OLD TELEGRAPH CANYON ROAD",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106536",
"telephone_number": "619-216-2121",
"fax_number": "619-216-2122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J. MATKOVICH, D.D.S. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VALENCIA",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "619-216-2121",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "27173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
- RM Flores MD Inc.
- RM Wellness Dietitians, Inc
- Linda Beth Robbins, LCSW
- Darlene Roberson, RN
- Robert H Moon MD, Inc
- Robert L & Marilyn a Carter Evans (Chula Vista Family Optometry)
- Robert L Evans OD &Marilyn a Carter OD a Professional Corp
- Kevin Roberts, LCSW
- Terri Lee Roberts, OTR/L
- Jenelle Nicole Robinson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.