Michael Ross Matson, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

23538 Issued in CA

Practice address

1509 W Yosemite Ave # B
Manteca, CA 95337-5159

Phone

(209) 823-9346

Fax

(209) 823-1899

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michael R Matson DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manteca, CA
  • NPI 1154552685
  NPD (past)
• Nelson Hu DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manteca, CA
  • NPI 1942038922
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962534339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W YOSEMITE AVE # B",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375159",
            "telephone_number": "209-823-9346",
            "fax_number": "209-823-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W YOSEMITE AVE # B",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375159",
            "telephone_number": "209-823-9346",
            "fax_number": "209-823-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "MICHAEL",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "23538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenzi Ellen Mather
• Annie Mathew, PHARMD
• Reba Anil Mathew
• Anita Biju Mathews, D.M.D.
• Catherine F Mathis, M.D.
• Matthew Kim Dental Corp
• Brianna Maxey
• Jade Hannah McBride
• Teresa McClendon
• Cassandra June McCurdy, MSN,NP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Manteca, CA
• Providers in Manteca, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.