DR. SEVERINO JOSE MATA MATA D.D.S.
NPI 1013391721
Student in an Organized Health Care Education/Training Program in Farmington, CT
About Dr. Severino Jose Mata Mata D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SEVERINO JOSE MATA MATA D.D.S. (NPI 1013391721) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Severino Jose Mata Mata D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARMINGTON, CT 06030
FARMINGTON, CT 06030
FARMINGTON, CT 06030
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Severino Mata Mata's NPI number?
The NPI number for Severino Mata Mata is 1013391721. It was assigned to this individual provider in the NPPES registry on July 13, 2015.
Where is Severino Mata Mata located?
Severino Mata Mata practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2000.
What is Severino Mata Mata's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Severino Mata Mata enrolled in Medicare?
Yes. Severino Mata Mata is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Severino Mata Mata was last updated on July 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Severino Jose Mata Mata, D.D.S. · NPI 1013391721
Student in an Organized Health Care Education/Training Program provider in Farmington, Connecticut. Individual provider, active in the CMS NPPES registry since July 13, 2015.
## Identity
- **NPI:** 1013391721 (Entity type: Individual)
- **Enumerated:** July 13, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 263 FARMINGTON AVE, Farmington, CT 06030-0001
- **Phone:** (860) 679-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 13, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1013391721) · Data from the CMS NPPES public registry.