Joao Victor De Oliveira Matias, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24641 Issued in FL

Practice address

7777 N Wickham Rd Ste 4
Melbourne, FL 32940-7978

Phone

(321) 255-6303

NPI assigned

Jul 26, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Coast Florida P.a.

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1396312096
  NPD
• Coast Florida PA

  • Dentist
  • Melbourne, FL
  • NPI 1275109258

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1952854044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 COLUMBIA PIKE APT 531",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045911",
            "telephone_number": "301-785-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 N WICKHAM RD STE 4",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407978",
            "telephone_number": "321-255-6303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Ave NW Ste 2B-01",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200601022",
            "country_code": "US",
            "telephone_number": "202-865-1491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W St NW",
            "address_2": "suite 301",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200591022",
            "country_code": "US",
            "telephone_number": "202-806-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 E Virginia Beach Blvd Ste 70",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022514",
            "country_code": "US",
            "telephone_number": "757-644-4358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "JOAO VICTOR",
        "middle_name": "DE OLIVEIRA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24641",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA DENTAL LICENSE",
            "identifier": "0401415860",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DENTAL LICENSE",
            "identifier": "DN24641",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Marie Matheny, APRN
• Dana Mathew, M.D.
• Sonia Chirayil Mathew
• Sharon Marie Mathier
• Stephanie Mathis
• Joseph Matini, DDS
• Carmen Mato, CSA
• Adriana Matos Torres
• Anna Matos
• Jessica Matos, PMHNP

• General Practice Dentistry in Melbourne, FL
• Providers in Melbourne, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.

Verify at the official NPI Registry.