MATTHEW CARMODY (NPI# 1104371483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104371483 |
| Entity Type | Individual |
| Full Name | MATTHEW CARMODY |
| Practice Address |
1015 Columbia Bridgeport WA 98813 |
| Mailing Address |
Po Box 1340 Okanogan WA 98840-1340 |
| Practice Telephone | 5094225700 |
| Practice Fax Number | 5094227680 |
| Mailing Telephone | 5094225700 |
| Mailing Fax Number | 5094227680 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60674038 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467914606 | Matthew Carmody | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2019-04-05 |
| 1184624488 | Matthew Carmody | Internal Medicine | 330 Mount Auburn St, Primary Care Center, Cambridge, MA 02138-5502 | 2005-07-28 |
| Street Address |
1015 COLUMBIA |
| City | BRIDGEPORT |
| State | WA |
| Zip Code | 98813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205253176 | Family Health Centers | Clinic/Center | 1015 Columbia, Bridgeport, WA 98813 | 2014-03-27 |
| 1740735026 | Michelle Lane | Dental Hygienist | 1015 Columbia, Bridgeport, WA 98813 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497176390 | Family Health Centers | Clinic/Center | 1015 Columbia Ave, Bridgeport, WA 98813 | 2013-12-18 |
| 1295073856 | Catherine Lynn Mullin | Specialist/Technologist | 1400 Tacoma Ave., Bridgeport School District, Bridgeport, WA 98813 | 2013-01-16 |
| 1235168030 | Bridgeport School District | Local Education Agency (LEA) | 1300 Tacoma Ave, Bridgeport, WA 98813 | 2006-07-02 |
| 1275019655 | Tony Ye Yan | Dentist | 1015 Columbia Ave, Bridgeport, WA 98813 | 2018-07-18 |
| 1275718322 | City of Bridgeport | Ambulance | 1206 Columbia Avenue, Bridgeport, WA 98813-0640 | 2008-01-08 |
| 1164568721 | W Dale Gross | Pharmacy | 2520 Foster Ave, Bridgeport, WA 98813-1029 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528148 | Jordan Renee Morrison | Technician/Technologist | 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 | 2020-11-05 |
| 1528666955 | Emily Mariah Wolf | Counselor | 1154 Walnut Grove Rd, Bridgeport, NY 13030-9760 | 2020-10-16 |
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1609483411 | Michelle Ribas Alves | Behavioral Analyst | 620 Peet St, Bridgeport, CT 06606-2731 | 2020-09-25 |
| 1629684410 | Far Rahman | Nutritionist | 386 Myrtle Ave, Bridgeport, CT 06604-5443 | 2020-09-17 |
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1457965113 | Cassandra Dewees | Case Manager/Care Coordinator | 70259 Sunset Hts, Bridgeport, OH 43912-8726 | 2020-09-01 |
| 1437763166 | Emily Ann Haws | Case Manager/Care Coordinator | 203 Willow Greene Dr, Bridgeport, WV 26330-7974 | 2020-09-01 |
| Find all providers in BRIDGEPORT | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672843 | Adam M. Grubler Dds, Pllc | Dentist | 1160 Johnson Ave Ste 104, Bridgeport, WV 26330-1487 | 2019-11-06 |
| 1982149522 | Ghorbani - Mohammadi Dental P.C. | Dentist | 2676 E Main St, Columbia Dental, Bridgeport, CT 06610-1422 | 2017-01-05 |
| 1790169613 | Victor Esmeraldo | Dentist | 1808 Chico Hwy, Bridgeport, TX 76426 | 2015-07-10 |
| 1548666142 | Awesome Smiles | Dentist | 1163 E Main St, Bridgeport, CT 06608-1620 | 2014-11-08 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1891092276 | Rita Bobb-rollins, Dds, Ltd. | Dentist | 102 Tolley Dr, Bridgeport, WV 26330-1668 | 2011-02-19 |
| 1063728285 | Jeremy F Bell | Dentist | 2260 North Ave, Bridgeport, CT 06604-2413 | 2010-08-25 |
| 1093034621 | Northeast Dental Solutions LLC | Dentist | 56 Harriet St, First Floor, Bridgeport, CT 06608-2131 | 2010-05-21 |
| 1578704789 | Angelo Michael Guerrera | Dentist | 2979 Madison Ave, Bridgeport, CT 06606-2060 | 2009-03-18 |
| 1700032042 | Ezro Leviyev | Dentist | 665 Clinton Ave, Bridgeport, CT 06605-1711 | 2008-08-18 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 98813 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.