DR. MATTHEW CARL HERRING (NPI# 1215378765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215378765 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW CARL HERRING |
| Credential | DMD |
| Practice Address |
36283 N Gantzel Rd Ste 102 San Tan Valley AZ 85140-7322 |
| Practice Telephone | (480) 386-6978 |
| Practice Fax Number | 4804521644 |
| Mailing Telephone | (480) 386-6978 |
| Mailing Fax Number | 4804521644 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9164 | AZ | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9164 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 042559 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8085 W Bell Rd Ste 103, Peoria, AZ 853823825 | 6234865430 | |
| 1835 E Guadalupe Rd Ste C, Tempe, AZ 852833277 | 4808385437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609219658 | Matthew John Herring | Orthopaedic Surgery | Ucsf Orthopaedic Trauma Institute, 2550 23rd St., Bldg. 9, 2nd Floor, San Francisco, CA 94110 | 2013-04-09 |
| 1295224525 | Matthew D Herring | Nurse Practitioner | 128 E Broad St, Saint Pauls, NC 28384-1610 | 2018-05-02 |
| 1669976304 | Matthew Herring | Massage Therapist | 13305 Nw Cornell Rd Ste E, Portland, OR 97229-5987 | 2018-03-19 |
| 1477910446 | Matthew Herring | Physical Therapist | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2016-01-21 |
| 1972902542 | Matthew Herring | Counselor | 26 Mount Zion Rd, York, PA 17402-2601 | 2014-08-19 |
| Street Address |
36283 N GANTZEL RD STE 102 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85140-7322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
| 1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
| 1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
| Find all providers in zip 85140 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669726030 | Santan Kidtastic LLC | Dentist | 2510 E Hunt Hwy Ste 29, San Tan Valley, AZ 85143-5208 | 2012-11-06 |
| 1558902247 | Stan Kidtastic Dental LLC | Dentist | 2510 E Hunt Hwy Ste 29, San Tan Valley, AZ 85143-5208 | 2019-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
| 1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
| 1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
| 1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
| 1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85140 |
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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.