Active NPI
Matthew Christy
- Dentist
- College Station, TX
National Provider Identifier
1922703180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41567
- Practice address
- 915 William D Fitch Pkwy Ste 300
College Station, TX 77845-4638 - Phone
- (979) 690-7201
- NPI assigned
- Apr 4, 2023
- Last updated
- Jul 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41567 | TX | Primary |
Addresses
Primary practice location
915 William D Fitch Pkwy Ste 300
College Station, TX 77845-4638
Mailing address
1545 Arrington Rd Apt 2416
College Station, TX 77845-8483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41567 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Station Modern Dentistry PC | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba College Station Modern Dentistry
- Dentist
- College Station, TX
- NPI 1124420781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1922703180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 ARRINGTON RD APT 2416",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 WILLIAM D FITCH PKWY STE 300",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454638",
"telephone_number": "979-690-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTY",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-04",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41567",
"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 Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.