Jason William Mathys, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12457 Issued in MN

Practice address

674 Blvd de France
Parris Island, SC 29902

Phone

(843) 228-3500

NPI assigned

Jul 10, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1992903058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 BLVD DE FRANCE",
            "city": "PARRIS ISLAND",
            "state": "SC",
            "postal_code": "29905",
            "telephone_number": "843-228-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 BLVD DE FRANCE",
            "city": "PARRIS ISLAND",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-228-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHYS",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12457",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Raeman Juarez, DMD
• Mitchell Patrick Kellerman, D.D.S.
• Daniel James Lange
• Josh E Lundgaard, ATC, CSCS
• Jeffrey Magin, DMD
• Emma Jean Mattei, DDS
• Joseph Landon McKinley, DO
• Danielle Meller, DDS
• Da Mok Min, AUD
• Joseph Bernard Monzon, DDS

• General Practice Dentistry in Parris Island, SC
• Providers in Parris Island, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.