NPIMap

Organization Active NPI

Matthews Dental Group, PA

  • General Practice Dentistry
  • College Station, TX
National Provider Identifier
1922245695
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MATTHEWS DENTAL GROUP, PA
Practice address
1509 Emerald Pkwy Ste 105
College Station, TX 77845-5502
Phone
(979) 696-8681
Fax
(979) 680-1330
NPI assigned
Jan 16, 2009
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Tonya G Patterson
Title
Practice Manager
Phone
(979) 696-8681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1509 Emerald Pkwy Ste 105
College Station, TX 77845-5502

Mailing address

1509 Emerald Pkwy Ste 105
College Station, TX 77845-5502
Phone (979) 696-8681

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1922245695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 EMERALD PKWY STE 105",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455502",
            "telephone_number": "979-696-8681",
            "fax_number": "979-680-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 EMERALD PKWY STE 105",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455502",
            "telephone_number": "979-696-8681",
            "fax_number": "979-680-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "979-696-8681"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.