Active NPI
Matthew Lee Andrews, D.M.D
- Dentist
- Greenville, SC
National Provider Identifier
1972912301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8389
- Practice address
- 155A Halton Village Cir
Greenville, SC 29607-6825 - Phone
- (803) 609-0551
- NPI assigned
- Aug 11, 2014
- Last updated
- Sep 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8389 | SC | Primary |
| Endodontics | 1223E0200X | 8389 | SC |
Addresses
Primary practice location
155A Halton Village Cir
Greenville, SC 29607-6825
Mailing address
155A Halton Village Cir
Greenville, SC 29607-6825
Phone (803) 609-0551
Other practice location 1
The Dental College Of Georgia 1120 15th Street Gc 5110
Augusta, GA 30912-0001
Phone (301) 677-6122
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8389 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews Endodontics | Endodontics | Current | Accepting new patients |
Locations
155A Halton Village Cir
Greenville, SC 29607
Phone (803) 609-0551
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.
-
- Endodontics
- Greenville, SC
- NPI 1699502187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1972912301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155A HALTON VILLAGE CIR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076825",
"telephone_number": "803-609-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155A HALTON VILLAGE CIR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076825",
"telephone_number": "803-609-0551"
}
],
"practiceLocations": [
{
"address_1": "The Dental College Of Georgia 1120 15th Street Gc 5110",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120001",
"country_code": "US",
"telephone_number": "301-677-6122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREWS",
"first_name": "MATTHEW",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-11",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8389",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "SC",
"license": "8389",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.