DR. MATTHEW INABA PICKRON (NPI# 1326647215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326647215 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW INABA PICKRON |
| Credential | DMD |
| Practice Address |
6476 Lake Worth Rd Lake Worth FL 33463 |
| Mailing Address |
611 Ne 12th Ter Apt 1 Boynton Beach FL 33435-3264 |
| Practice Telephone | 4048245190 |
| Mailing Telephone | 4048245190 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN22413 | FL | Dental Providers |
| Street Address |
6476 LAKE WORTH RD |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992228 | Janet Arlene Meikle | Nurse's Aide | 5500 Albin Drive, Greenacres, FL 33463 | 2020-08-10 |
| 1205478955 | Nadine Pierre Jean | Nurse Practitioner | 5333 Island Gypsy Drive, Green Acres, FL 33463 | 2019-10-15 |
| 1427537372 | Dorothy Carol Rose Smith | Speech-Language Pathologist | 6200 Grand Cypress Circle, Lake Worth, FL 33463 | 2018-08-11 |
| 1366930059 | Family Care Rx, LLC | Pharmacy | 6428 Melaleuca Ln, Greenacres, FL 33463 | 2018-04-27 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1174039960 | Marigold Nursing, LLC | Registered Nurse | 3900 Woodlake Blvd., Suite 200-13, Lake Worth, FL 33463 | 2017-12-16 |
| 1295245512 | Jocelyn Augustin | Physical Therapist | 5026 Sabreline Terrace, Green Acres, FL 33463 | 2017-10-02 |
| 1922527662 | Victoria Johnson | Licensed Practical Nurse | 6166 Plains Drive, Lake Worth, FL 33463 | 2017-09-13 |
| 1346764123 | Tdc Lantana LLC | Clinic/Center | 6346 Lantana Rd Suite 68, Lake Worth, FL 33463 | 2017-08-02 |
| 1902329634 | Sherley Dorsainvil | Behavior Technician | 5514 Baja Terrace, Greenacres, FL 33463 | 2017-07-25 |
| Find all providers in zip 33463 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922157437 | Howard Barry Shullman | Dentist | 9859 Lake Worth Rd Ste 21, Lake Worth, FL 33467-2369 | 2007-01-10 |
| 1760569289 | William Domeyer | Dentist | 4175 S Congress Ave Ste H, Lake Worth, FL 33461-4725 | 2006-11-01 |
| 1457822371 | Daniela Loebl | Dentist | 1708 N Federal Hwy, Lake Worth, FL 33460-6668 | 2018-12-17 |
| 1841688355 | Tetyana Parsons | Dentist | 6169 S Jog Rd, Ste A4, Lake Worth, FL 33467 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056848 | Brandon Lee Zipper | Dentist | 901 N Congress Ave Ste 107, Boynton Beach, FL 33426-3316 | 2020-09-02 |
| 1851903298 | Ocoee Dental & Orthodontics, P.a. | Dentist | 2910 Maguire Rd Ste 1005, Ocoee, FL 34761-4742 | 2020-08-18 |
| 1700411857 | Imagine Orthodontic Studio Pllc | Dentist | 3595 S Florida Ave, Lakeland, FL 33803-4860 | 2020-03-10 |
| 1952933541 | Katherine Kapernaros | Dentist | 1395 Center Dr Rm D7-35, Gainesville, FL 32610-3006 | 2020-02-11 |
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1700421344 | Lindsay A Ringdahl Dmd Ms Pa | Dentist | 85 Weston Rd Unit 102, Weston, FL 33326-1158 | 2019-11-07 |
| 1942844493 | Daniel R Camacho | Dentist | 4330 Sheridan St Ste 201a, Hollywood, FL 33021-1406 | 2019-10-28 |
| 1982247102 | Thebis A. Franceschi | Dentist | 813 Delmar Way Apt 116, Delray Beach, FL 33483-3366 | 2019-10-21 |
| 1730736174 | Integrity Dental, LLC | Dentist | 5100 Tamiami Trl N Ste 201, Naples, FL 34103-2810 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33463 |
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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.