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MICHAEL KENT MATHESON DDS
NPI 1104039809
Dentist in Salt Lake City, UT

Active since May 08, 2007PECOS Enrolled
3939 WASATCH BLVD, SUITE 4, SALT LAKE CITY, UT 84124(801) 424-0027(801) 424-0029 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Kent Matheson Dds NPPES

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

MICHAEL KENT MATHESON DDS (NPI 1104039809) is an individual dentist in Salt Lake City, Utah, licensed in Utah (362747-9922) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104039809
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMICHAEL KENT MATHESONCredential: DDS
Location Address3939 WASATCH BLVD, SUITE 4Salt Lake City, UT 84124-2216
Mailing Address3939 Wasatch Blvd, Suite 4Salt Lake City, UT 84124-2216 · (801) 424-0027 · Fax (801) 424-0029
Phone(801) 424-0027
Fax(801) 424-0029
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1104039809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 362747-9922
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3939 WASATCH BLVD, Salt Lake City, UT 84124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Kent Matheson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. DAVID ANTHONY BRAUN D.C.
Chiropractor
3939 WASATCH BLVD
SALT LAKE CITY, UT 84124
Salt Lake County (801) 277-2348
FOCUS CHIROPRACTIC, P.C.
Chiropractor
3939 WASATCH BLVD
SALT LAKE CITY, UT 84124
Salt Lake County (801) 277-2348

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 Michael Matheson's NPI number?

The NPI number for Michael Matheson is 1104039809. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Michael Matheson located?

Michael Matheson practices at 3939 Wasatch Blvd Suite 4, Salt Lake City, UT 84124. The listed phone number is (801) 424-0027.

What is Michael Matheson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Michael Matheson enrolled in Medicare?

Yes. Michael Matheson is registered in the Medicare PECOS enrollment system.

What insurance does Michael Matheson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Michael Matheson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Matheson was last updated on August 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.