Brendan Matthews, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS041687 Issued in PA

Practice address

521 Mt Pleasant Dr Ste 102
Scranton, PA 18503-1993

Phone

(570) 346-7301

NPI assigned

Jul 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1982157749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MT PLEASANT DR STE 102",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031993",
            "telephone_number": "570-346-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MT PLEASANT DR STE 102",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031993",
            "telephone_number": "570-346-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "BRENDAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041687",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS041687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nepaoralsurgery.com",
            "affiliation": "N",
            "address_1": "521 Mt Pleasant Dr Ste 102",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185031993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maternal & Family Health Services, Inc
• Estrella Matos
• Courtney M Matoushek, LSW
• Christian Joseph Matriccino
• Gretchen Michele Mattern, OTR/L
• Michael Matthews, PH.D
• John Christopher Mattise
• David R Mayne, DO
• Rachael Mazza, MA, LPC
• Mary Margaret M Mazzaccaro, SLP

• Oral and Maxillofacial Surgery (Dentist) in Scranton, PA
• Providers in Scranton, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.