NPIMap

Individual provider Active NPI

Mathew David Carew, DMD

  • Dental Anesthesiology
  • Medina, OH
National Provider Identifier
1952965154
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
30.026735 Issued in OH
Practice address
3613 Reserve Commons Dr
Medina, OH 44256-8179
Phone
(216) 387-7690
NPI assigned
Apr 24, 2019
Last updated
Jul 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 090717900 IL
Student in an Organized Health Care Education/Training Program 390200000X
Dental Anesthesiology 1223D0004X 30.026735 OH Primary

Addresses

Primary practice location

3613 Reserve Commons Dr
Medina, OH 44256-8179

Mailing address

3613 Reserve Commons Dr
Medina, OH 44256-8179
Phone (216) 387-7690

Other practice location 1

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 975-1600

Other practice location 2

202- 247 Pembina ave
hinton, Alberta t7v2g2
CA
Phone (780) 223-4275

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

LicenseStateTypeSpecialty
090717900ILMDDentist
30.026735OHMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Dental Anesthesia Mathew D Carew LLC Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1952965154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 RESERVE COMMONS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568179",
            "telephone_number": "216-387-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 RESERVE COMMONS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568179",
            "telephone_number": "216-387-7690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 W Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60657",
            "country_code": "US",
            "telephone_number": "773-975-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202- 247 Pembina ave",
            "address_purpose": "LOCATION",
            "city": "hinton",
            "state": "Alberta",
            "postal_code": "t7v2g2",
            "country_code": "CA",
            "telephone_number": "780-223-4275",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "CAREW",
        "first_name": "MATHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "090717900",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "OH",
            "license": "30.026735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.