Active NPI
Joshua Matam, DDS
- Pediatric Dentistry
- Salamanca, NY
National Provider Identifier
1932895497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 065401
- Practice address
- 987 R C Hoag Dr
Salamanca, NY 14779-1365 - Phone
- (716) 945-5894
- Fax
- (716) 242-6345
- NPI assigned
- Apr 17, 2023
- Last updated
- Aug 20, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 065401 | NY | Primary |
Addresses
Primary practice location
987 R C Hoag Dr
Salamanca, NY 14779-1365
Mailing address
987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014674A | IN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1932895497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "987 R C HOAG DR",
"city": "SALAMANCA",
"state": "NY",
"postal_code": "147791365",
"telephone_number": "716-945-5894",
"fax_number": "716-242-6345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987 R C HOAG DR",
"city": "SALAMANCA",
"state": "NY",
"postal_code": "147791365",
"telephone_number": "716-945-5894",
"fax_number": "716-242-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATAM",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-17",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "065401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salamanca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.