DR. MATTHEW SCOTT STANDRIDGE D.D.S.
NPI 1255650529
Dentist - Dental Public Health in Potosi, MO

Active since May 25, 2010PECOS Enrolled
1 SOUTHTOWNE DR, POTOSI, MO 63664(573) 438-8401 Get Directions Write a Review

NPPES record last updated: August 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew Scott Standridge D.d.s. NPPES

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

DR. MATTHEW SCOTT STANDRIDGE D.D.S. (NPI 1255650529) is an individual dental public health provider in Potosi, Missouri, licensed in Kansas (60776) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1255650529
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameDR. MATTHEW SCOTT STANDRIDGECredential: D.D.S.
Location Address1 SOUTHTOWNE DRPotosi, MO 63664-5729
Mailing Address420 W 15th AveEmporia, KS 66801-5367 · (620) 342-4864 · Fax (620) 342-7790
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 25, 2010
Last NPPES UpdateAugust 5, 2011
NPI 1255650529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Licenses Licensed in KS · 60776 Licensed in MO · 2010016150
Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 60776 (KS)
1 SOUTHTOWNE DR, Potosi, MO 63664

Accepted 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)

Dr. Matthew Scott Standridge D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466955372
PECOS Enrollment IDI20250915002186
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 63664 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Pharmacy (Long Term Care Pharmacy)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Counselor (Professional)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Nurse Practitioner (Psychiatric/Mental Health)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Social Worker (Clinical)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Nurse Practitioner (Family)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Dental Hygienist
1 SOUTHTOWNE DR
POTOSI, MO 63664
Nurse Practitioner
1 SOUTHTOWNE DR
POTOSI, MO 63664
Social Worker (Clinical)
1 SOUTHTOWNE DR
POTOSI, MO 63664

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 Standridge's NPI number?

The NPI number for Matthew Standridge is 1255650529. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Matthew Standridge located?

Matthew Standridge practices at 1 Southtowne Dr, Potosi, MO 63664. The listed phone number is (573) 438-8401.

What is Matthew Standridge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Matthew Standridge enrolled in Medicare?

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

What insurance does Matthew Standridge accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 4 other insurers list Matthew Standridge 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 Standridge was last updated on August 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.