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MATTHEW CANNAVO D.M.D
NPI 1124428198
Dentist - Oral and Maxillofacial Surgery in Detroit, MI

Active since August 27, 2014PECOS Enrolled
7633 E JEFFERSON AVE, SUITE 70, DETROIT, MI 48214(313) 499-4775(313) 499-4953 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Cannavo D.m.d NPPES

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

MATTHEW CANNAVO D.M.D (NPI 1124428198) is an individual oral and maxillofacial surgery provider in Detroit, Michigan, licensed in Michigan (2901021268) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124428198
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMATTHEW CANNAVOCredential: D.M.D
Location Address7633 E JEFFERSON AVE, SUITE 70Detroit, MI 48214-3730
Mailing Address7633 E Jefferson Ave, Suite 70Detroit, MI 48214-3730 · (313) 499-4775 · Fax (313) 499-4953
Phone(313) 499-4775
Fax(313) 499-4953
Sole ProprietorYes
Enumeration DateAugust 27, 2014
Last NPPES UpdateMarch 29, 2016
✔ NPI 1124428198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901021268
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7633 E JEFFERSON AVE, Detroit, MI 48214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.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)

Matthew Cannavo D.m.d 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 48214 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 20

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

BAZZI PODIATRY
Podiatrist (Foot & Ankle Surgery)
7633 E JEFFERSON AVE, SUITE 250
DETROIT, MI 48214
Wayne County (313) 821-3338
KYLE KLOOSTER MD, DDS
Dentist (Oral and Maxillofacial Surgery)
7633 E JEFFERSON AVE, SUITE 70
DETROIT, MI 48214
Wayne County (313) 499-4775
DR. MOHAMMED BAZZI D.P.M
Podiatrist (Foot & Ankle Surgery)
7633 E JEFFERSON AVE, STE 250
DETROIT, MI 48214
Wayne County (313) 821-3338
DR. PRINCESS ELHOSARY DMD
Dentist
7633 E JEFFERSON AVE, SUITE 70
DETROIT, MI 48214
Wayne County (313) 499-4775
DR. STANLEY B COHEN DPM
Podiatrist (Foot & Ankle Surgery)
7633 E JEFFERSON AVE, 250
DETROIT, MI 48214
Wayne County (313) 821-3338
DR. JAMES ARTHUR MULLER II MD, DDS
Dentist (Oral and Maxillofacial Surgery)
7633 E JEFFERSON AVE, SUITE 70
DETROIT, MI 48214
Wayne County (313) 499-4775
DR. EIAD KSEIBI M.D.
Internal Medicine (Critical Care Medicine)
7633 E JEFFERSON AVE, SUITE 360
DETROIT, MI 48214
Wayne County (313) 499-4985
DR. CHASE AARON DDS
Dentist
7633 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4962

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 Matthew Cannavo's NPI number?

The NPI number for Matthew Cannavo is 1124428198. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Matthew Cannavo located?

Matthew Cannavo practices at 7633 E Jefferson Ave Suite 70, Detroit, MI 48214. The listed phone number is (313) 499-4775.

What is Matthew Cannavo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Matthew Cannavo enrolled in Medicare?

Yes. Matthew Cannavo is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Cannavo accept?

Health plans from Delta Dental of Michigan list Matthew Cannavo 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 Matthew Cannavo was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.