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ROBERT MATIASEVICH JR DDS INC
NPI 1235278441
Dentist in Santa Cruz, CA

Active since February 05, 2007
1775 DOMINICAN WAY, SANTA CRUZ, CA 95065(831) 476-7272(831) 476-1446 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert Matiasevich Jr Dds Inc NPPES

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

ROBERT MATIASEVICH JR DDS INC (NPI 1235278441) is a healthcare organization registered as a dentist in Santa Cruz, California and active in the NPI registry since February 2007. The organization lists Robert N Matiasevich, Dentist, as its authorized official.

NPPES Registry Identity

NPI1235278441
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameROBERT MATIASEVICH JR DDS INC
Location Address1775 DOMINICAN WAYSanta Cruz, CA 95065
Mailing Address1775 Dominican WaySanta Cruz, CA 95065 · (831) 476-7272 · Fax (831) 476-1446
Phone(831) 476-7272
Fax(831) 476-1446
Organization SubpartNo
Authorized OfficialRobert N MatiasevichDentist · (831) 476-7272
Enumeration DateFebruary 5, 2007
Last NPPES UpdateFebruary 17, 2017
✔ NPI 1235278441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 21480
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.
1775 DOMINICAN WAY, Santa Cruz, CA 95065
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Matiasevich Jr Dds Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert Matiasevich Jr DDS Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Matiasevich, DDS
Oral Surgery
NPI 1598805996
1775 DOMINICAN WAY
Santa Cruz, CA 95065
(831) 476-7272
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Robert Matiasevich Jr Dds Inc's NPI number?

The NPI number for Robert Matiasevich Jr Dds Inc is 1235278441. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Robert Matiasevich Jr Dds Inc located?

Robert Matiasevich Jr Dds Inc is located at 1775 Dominican Way, Santa Cruz, CA 95065. The listed phone number is (831) 476-7272.

What is Robert Matiasevich Jr Dds Inc's specialty?

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

Is Robert Matiasevich Jr Dds Inc enrolled in Medicare?

Yes. Robert Matiasevich Jr Dds Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert Matiasevich Jr Dds Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Robert Matiasevich Jr Dds Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert Matiasevich Jr Dds Inc was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.