Matthew Halfmann, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38599 Issued in TX

Practice address

5238 S 31St St
Temple, TX 76502-3513

Phone

(254) 778-4402

NPI assigned

Jul 6, 2022

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

Enrolled in TX

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

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.

• Lake Shore Dental Care, PLLC

  • Dental Clinic/Center
  • Waco, TX
  • NPI 1821971771
  NPD Authorized official

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1972236081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023513",
            "telephone_number": "254-778-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALFMANN",
        "first_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-07-31",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nathan Haines, D.O.
• Rodney L. Hajdik, M.D.
• Amy Nicole Hajek, FNP-BC
• Imtiyaz Hussain Hakeem, MD
• Christopher Terrence Haley, M.D.
• Kathleen G Halka, M.D.
• Aaron Hall, CRNA
• Beatriz Maria Hall, M.D.
• Billy V. Hall II, LPC
• Cynthia Gale Hall, REGISTERED NURSE

• Dentist in Temple, TX
• Providers in Temple, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.