Organization Active NPI

Mathews Family Dental Center PC

  • General Practice Dentistry
  • Manchester, CT
National Provider Identifier
1992117725
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9298 Issued in CT
Legal business name
MATHEWS FAMILY DENTAL CENTER PC
Practice address
99 E Center St
Manchester, CT 06040-5250
Phone
(860) 646-1360
Fax
(860) 646-2850
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Shari N Mathew, DDS
Title
Dentist
Phone
(860) 646-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9298 CT Primary

Addresses

Primary practice location

99 E Center St
Manchester, CT 06040-5250

Mailing address

99 E Center St
Manchester, CT 06040-5250
Phone (860) 646-1360

National Provider Directory

National Provider Directory

Locations

99 E Center St
Manchester, CT 06040
Phone (860) 643-9988

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1992117725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405250",
            "telephone_number": "860-646-1360",
            "fax_number": "860-646-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405250",
            "telephone_number": "860-646-1360",
            "fax_number": "860-646-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEWS FAMILY DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-646-1360",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.