Individual provider Active NPI

Matthew Paul Andrews, DDS

  • General Practice Dentistry
  • Cuba City, WI
National Provider Identifier
1942463286
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6231-15 Issued in WI
Practice address
206 S Jackson St
Cuba City, WI 53807-1147
Phone
(608) 744-2111
Fax
(608) 744-2112
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 6231-15 WI Primary

Addresses

Primary practice location

206 S Jackson St
Cuba City, WI 53807-1147

Mailing address

206 S Jackson St
Cuba City, WI 53807-1147
Phone (608) 744-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914003907 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0749466084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6231-15WIMDGeneral Practice Dentistry
6231WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cuba City Family Dental LLC CurrentSince Oct 8, 2023 Accepting new patients
Cuba City Hometown Pharmacy, LLC PastSince Jan 26, 2025 Accepting new patients
Cuba City Hometown Pharmacy, LLC Past Accepting new patients

Locations

206 S Jackson St
Cuba City, WI 53807
Phone (608) 744-2111

Organizations & group practices 3

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1942463286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S JACKSON ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071147",
            "telephone_number": "608-744-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S JACKSON ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071147",
            "telephone_number": "608-744-2111",
            "fax_number": "608-744-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6231-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba City, WI

Sources for this page

Verify at the official NPI Registry.