ADAM MATTHIAS (NPI# 1407112600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407112600 |
| Entity Type | Individual |
| Full Name | ADAM MATTHIAS |
| Credential | D.D.S. |
| Practice Address |
3109 Frederick Ave Saint Joseph MO 64506-2959 |
| Practice Telephone | 8162440295 |
| Mailing Telephone | 8162440295 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2016007792 | MO | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3109 FREDERICK AVE |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-2959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437144458 | Robert M Crittenden | Dentist | 3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-2911 | 2005-09-15 |
| 1588625206 | Ronald Wilson Taylor | Dentist | 3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-2911 | 2006-03-31 |
| 1104887439 | Perrin Saville Jungbluth | Dentist | 3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-2911 | 2006-03-28 |
| 1275594509 | Donald Lance Gossett | Dentist | 3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-2911 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386914554 | John Lyons Porritt | Dentist | 4439 Woodridge Way, Saint Joseph, MI 49085-9623 | 2012-01-05 |
| 1568594638 | Sherdon Wade Cordova | Dentist | 614 Laurel Dr, Saint Joseph, IL 61873-9402 | 2007-03-12 |
| 1154485613 | Northwest Missouri Oral & Maxillofacial Surgeons | Dentist | 3109 Frederick Ave Ste A, Saint Joseph, MO 64506-3073 | 2006-12-20 |
| 1891731204 | John Marion Kim | Dentist | 3102 Niles Rd, Saint Joseph, MI 49085-8609 | 2006-06-22 |
| 1437144458 | Robert M Crittenden | Dentist | 3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-2911 | 2005-09-15 |
| 1144537333 | John M Kim Dmd PC | Dentist | 3102 Niles Rd, Saint Joseph, MI 49085-8609 | 2010-09-09 |
| 1245544824 | Lake Michigan Oral & Maxillofacial Surgery Pllc | Dentist | 3950 Hollywood Rd, 290, Saint Joseph, MI 49085-9151 | 2010-08-05 |
| 1427159953 | Robert Charles Paolillo | Dentist | 3904 Beck Rd, Suite 150, Saint Joseph, MO 64506-4952 | 2006-09-26 |
| 1417058926 | Robert C. Paolillo,ddspc | Dentist | 3904 Beck Rd, Suite 150, Saint Joseph, MO 64506-4952 | 2006-09-26 |
| 1487755930 | Roger Kent Smith | Dentist | 3904 Beck Rd, Suite 150, Saint Joseph, MO 64506-4952 | 2006-09-26 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
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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.