MATTHEW D PATE (NPI# 1427120864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427120864 |
| Entity Type | Individual |
| Full Name | MATTHEW D PATE |
| Credential | DDS |
| Practice Address |
2705 S Berkley Building 2 Suite B Kokomo IN 40902-8007 |
| Practice Telephone | 7654532267 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12009623 | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DENTAL LICENSE | 12009623 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849102 | Matthew John Pate | Student in an Organized Health Care Education/Training Program | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2020-04-02 |
| Street Address |
2705 S BERKLEY BUILDING 2 SUITE B |
| City | KOKOMO |
| State | IN |
| Zip Code | 40902-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669582813 | Pediatric Dental Specialists of Indiana PC | Dentist | 2705 S Berkley, Building 2 Suite B, Kokomo, IN 46902 | 2006-08-30 |
| 1780756122 | Phillip R Pate | Dentist | 2705 S Berkley, Building 2 Suite B, Kokomo, IN 46902-8007 | 2006-11-14 |
| 1659459667 | Robert W Long | Dentist | 2705 S Berkley, Building 2 Suite B, Kokomo, IN 46902-8007 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406747 | Abigail A Campbell | Counselor | 2660 Sea Biscuit Ln, Kokomo, IN 46901-5093 | 2020-10-30 |
| 1518566140 | Alvin Guangco | Physical Therapist | 2320 Valentine Rd, Kokomo, IN 46902-3592 | 2020-10-24 |
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1043827900 | Carla Odom | Student in an Organized Health Care Education/Training Program | 963 Taylor Rd, Kokomo, MS 39643-4967 | 2020-09-24 |
| 1043826175 | Emily Brianne Edwards | Counselor | 217 E Southway Blvd, Kokomo, IN 46902-3698 | 2020-09-23 |
| 1831701655 | Steven Louis Konechnik | Physical Therapist | 1805 E Hoffer St, Kokomo, IN 46902-2443 | 2020-08-21 |
| 1023620598 | Sarah C Dennis | Developmental Therapist | 1809 Columbus Blvd, Kokomo, IN 46901-1871 | 2020-08-17 |
| 1245848746 | Bayley Brutus | Developmental Therapist | 3149 Congress Dr, Kokomo, IN 46902-8032 | 2020-07-21 |
| 1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
| 1447868906 | Psychotherapy Associates of Kokomo, LLC | Counselor | 217 E Southway Blvd Ste 101, Kokomo, IN 46902-3577 | 2020-07-21 |
| Find all providers in KOKOMO | ||||
| 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 |
|---|---|---|---|---|
| 1821134370 | Gregory Hunter Johnson | Dentist | 2350 South Dixon Road, Suite 425, Kokomo, IN 46902-6422 | 2007-01-30 |
| 1669582813 | Pediatric Dental Specialists of Indiana PC | Dentist | 2705 S Berkley, Building 2 Suite B, Kokomo, IN 46902 | 2006-08-30 |
| 1780756122 | Phillip R Pate | Dentist | 2705 S Berkley, Building 2 Suite B, Kokomo, IN 46902-8007 | 2006-11-14 |
| 1659459667 | Robert W Long | Dentist | 2705 S Berkley, Building 2 Suite B, Kokomo, IN 46902-8007 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186732 | Poplar Pediatric Dentistry LLC | Dentist | 6741 Lexington Cir, Zionsville, IN 46077-9164 | 2020-02-14 |
| 1265074710 | Hendricks Pediatric Dentistry, LLC | Dentist | 1557 Windview, Brownsburg, IN 46112-7641 | 2019-10-16 |
| 1760048748 | Kids Dentistree of In, LLC | Dentist | 1602 W Mcclain Ave, Scottsburg, IN 47170-1161 | 2019-05-15 |
| 1134691090 | Dentistry Just for Kids and Orthodontics, LLC | Dentist | 1107 Ohio St, Terre Haute, IN 47807-3817 | 2018-12-17 |
| 1588159339 | Kids Dentistree of In, LLC | Dentist | 7900 E Us Highway 36 Ste K, Avon, IN 46123-7791 | 2018-06-25 |
| 1285128512 | Schulten Pediatric Dentistry - New Albany LLC | Dentist | 4317 Charlestown Rd, New Albany, IN 47150-8506 | 2018-06-20 |
| 1255843116 | John A. Bozc, D.d.s. PC | Dentist | 520 W Navajo St, West Lafayette, IN 47906-1999 | 2017-11-01 |
| 1316463607 | Emhardt Pediatric Dentistry LLC | Dentist | 1818 N Riley Hwy Ste B, Shelbyville, IN 46176-8572 | 2017-08-17 |
| 1194245225 | Sara Gholam | Dentist | 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 | 2017-06-20 |
| 1245788066 | Eric Ladd, D.d.s. | Dentist | 555 W Us Highway 30, Schererville, IN 46375-2650 | 2016-09-21 |
| Find all providers with the same taxonomy | ||||
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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.