DR. JEREMY ISAK MATIS DDS
NPI 1053685008
Dentist - General Practice in Fairchild Afb, WA

Q: What is Jeremy Matis's NPI number?

The NPI number for Jeremy Matis is 1053685008. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Q: What is Jeremy Matis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Matis was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 07, 2012

92D MEDICAL GROUP, 701 HOSPITAL LOOP, SUITE 350, FAIRCHILD AFB, WA 99011(095) 247-4770 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Aug 17, 2022, Apr 22, 2020 and 1 more (4 updates tracked since 2018).

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About Dr. Jeremy Isak Matis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY ISAK MATIS DDS (NPI 1053685008) is an individual general practice provider in Fairchild Afb, Washington, licensed in Indiana (12011813A) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1053685008

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEREMY ISAK MATISCredential: DDS

Location Address92D MEDICAL GROUP, 701 HOSPITAL LOOP, SUITE 350Fairchild Afb, WA 99011

Mailing Address92d Medical Group, 701 Hospital Loop, Suite 350Fairchild Afb, WA 99011 · (509) 247-4770

Phone(095) 247-4770

Sole ProprietorNo

Enumeration DateMarch 7, 2012

Last NPPES UpdateJune 25, 20244 updates tracked since enumeration

NPPES CertifiedJune 17, 2024

✔ NPI 1053685008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12011813A

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

92D MEDICAL GROUP, Fairchild Afb, WA 99011

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA MANN

Dentist (General Practice)

92D MEDICAL GROUP, 701 HOSPITAL LOOP SUITE 350
FAIRCHILD AFB, WA 99011

Spokane County (509) 247-4329

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 Jeremy Matis's NPI number?

The NPI number for Jeremy Matis is 1053685008. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Where is Jeremy Matis located?

Jeremy Matis practices at 92D Medical Group 701 Hospital Loop, Suite 350, Fairchild Afb, WA 99011. The listed phone number is (095) 247-4770.

What is Jeremy Matis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jeremy Matis was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.