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DEVIN T MATSUMORI DDS
NPI 1225327281
Dentist in Sandy, UT

Active since March 30, 2011PECOS Enrolled

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devin T Matsumori Dds NPPES

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

DEVIN T MATSUMORI DDS (NPI 1225327281) is an individual dentist in Sandy, Utah, licensed in Utah (7987460-9921) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225327281
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDEVIN T MATSUMORICredential: DDS
Location Address870 E 9400 SSandy, UT 84094-3666
Mailing Address870 E 9400 S Ste 110Sandy, UT 84094-3689 · (801) 571-8391
Phone(801) 571-8391
Sole ProprietorNo
Enumeration DateMarch 30, 2011
Last NPPES UpdateDecember 2, 2014
✔ NPI 1225327281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 7987460-9921
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D008150 (AZ)
870 E 9400 S, Sandy, UT 84094
Open in Google Maps ↗

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 Montana 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)

Devin T Matsumori 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 84094 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 6

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

DANNI MILLER OTR/L
Occupational Therapist (Pediatrics)
870 E 9400 S, 112
SANDY, UT 84094
Salt Lake County (801) 571-3081
DR. DAVID EDWARD JACKSON DDS
Dentist
870 E 9400 S, #110
SANDY, UT 84094
Salt Lake County (801) 571-8391
NATHAN ERIC CHANDLER DDS
Dentist
870 E 9400 S, STE 101
SANDY, UT 84094
Salt Lake County (801) 571-3446
DR. DAVID E. JACKSON DDS PC
Dentist (General Practice)
870 E 9400 S, SUITE #110
SANDY, UT 84094
Salt Lake County (801) 571-8391
QUANTUM INJURY AND PAIN CLINIC LLC
Massage Therapist
870 E 9400 S, SUITE 100
SANDY, UT 84094
Salt Lake County (801) 553-9966
VERN MEDICAL TRUST
Exclusive Provider Organization
870 E 9400 S, SUITE 104
SANDY, UT 84094
Salt Lake County (801) 553-8088

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 Devin Matsumori's NPI number?

The NPI number for Devin Matsumori is 1225327281. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Devin Matsumori located?

Devin Matsumori practices at 870 E 9400 S, Sandy, UT 84094. The listed phone number is (801) 571-8391.

What is Devin Matsumori's specialty?

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

Is Devin Matsumori enrolled in Medicare?

Yes. Devin Matsumori is registered in the Medicare PECOS enrollment system.

What insurance does Devin Matsumori accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Devin Matsumori 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 Devin Matsumori was last updated on December 2, 2014. 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.