Matthew Thomas Matteucci, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6100 Issued in PA

Practice address

2764 Lake Sahara Dr
Las Vegas, NV 89117-3400

Phone

(702) 365-6497

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Thomas S Matteucci DDS LTD

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1114679750
  NPD Authorized official

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1972899391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 LAKE SAHARA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 LAKE SAHARA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173400",
            "telephone_number": "702-365-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEUCCI",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "6100",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "6100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simran Kaur Matta, MD
• David Genovese Mattena
• Erin Mattera, LMFT STATE INTERN
• Matters of the Heart Personalcare Services LLC
• Matters of the Mind LLC
• Chad Matthes
• Emily Matthes
• Matthew Cooper MD LTD
• Matthew G Roach D C a Professional Corporation
• Matthew Ian Taylor, MD PLLC

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.