Active NPI
Matthew P Friedt, DDS
- Endodontics
- Huntsville, AL
National Provider Identifier
1952480436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 5739
- Practice address
- 2006 Franklin St Suite 209
Huntsville, AL 35801 - Phone
- (256) 533-1723
- Fax
- (256) 533-1750
- NPI assigned
- Nov 3, 2006
- Last updated
- Apr 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 5739 | AL | Primary |
Addresses
Primary practice location
2006 Franklin St Suite 209
Huntsville, AL 35801
Mailing address
2006 Franklin St SE Ste 209
Huntsville, AL 35801-4537
Phone (256) 533-1723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130521000469 | AL | Order and Referring Only - Oral Surgery | 0648418285 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5739 | AL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontics, P.C. | Current | 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.
-
- Dental Clinic/Center
- Huntsville, AL
- NPI 1144034893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1952480436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 FRANKLIN ST SE STE 209",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014537",
"telephone_number": "256-533-1723",
"fax_number": "256-533-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 FRANKLIN ST SUITE 209",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-533-1723",
"fax_number": "256-533-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDT",
"first_name": "MATTHEW",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AL",
"license": "5739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.