Organization Active NPI

Mundo Dental Group, PA

Doing business as Mundo Dentistry

  • Dentist
  • Fort Mill, SC
National Provider Identifier
1972006682
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MUNDO DENTAL GROUP, PA
Doing business as
Mundo Dentistry
Practice address
3463 Highway 21 Byp Ste 101
Fort Mill, SC 29715-7210
Phone
(704) 825-2081
NPI assigned
Mar 9, 2018
Last updated
Mar 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Dr. Matthew Michael Howell, DDS
Title
Owner
Phone
(704) 825-2081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3463 Highway 21 Byp Ste 101
Fort Mill, SC 29715-7210

Mailing address

3463 Highway 21 Byp Ste 101
Fort Mill, SC 29715-7210
Phone (704) 825-2081

Other names 1

  • Mundo Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3463 Highway 21
Ste 101
Fort Mill, SC 29715
Phone (520) 488-8612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1972006682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 HIGHWAY 21 BYP STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157210",
            "telephone_number": "704-825-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 HIGHWAY 21 BYP STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157210",
            "telephone_number": "704-825-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDO DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-825-2081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mundo Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.