MATTHEW JOHN NIELSEN D.D.S.
NPI 1356622401
Dentist - General Practice in Cannon Afb, NM

Q: What is Matthew Nielsen's NPI number?

The NPI number for Matthew Nielsen is 1356622401. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Q: What is Matthew Nielsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Nielsen was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since September 02, 2011PECOS Enrolled

224 W D.L. INGRAM, BLD. 1408, CANNON AFB, NM 88103(575) 784-4041 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Apr 30, 2018 (2 updates tracked since 2018).

On this page

About Matthew John Nielsen D.d.s. NPPES

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

MATTHEW JOHN NIELSEN D.D.S. (NPI 1356622401) is an individual general practice provider in Cannon Afb, New Mexico, licensed in Colorado (DEN-10503) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1356622401

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMATTHEW JOHN NIELSENCredential: D.D.S.

Location Address224 W D.L. INGRAM, BLD. 1408Cannon Afb, NM 88103

Mailing Address5955 Zeamer AveAnchorage, AK 99506-3702 · (907) 580-5010

Phone(575) 784-4041

Sole ProprietorNo

Enumeration DateSeptember 2, 2011

Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1356622401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · DEN-10503

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

224 W D.L. INGRAM, Cannon Afb, NM 88103

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Secondary Practice Location 1

Location 1110 W Ent Ave, Attn: 21 DS/SGDD-Dental ClinicColorado Springs, CO 80914-1595 · Phone (719) 556-1333 · Fax (719) 556-1331

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 John Nielsen D.d.s. 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 88103 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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

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

TANIS LEE CATHEY

Licensed Practical Nurse

224 W D.L. INGRAM
CANNON AFB, NM 88103

Curry County (575) 784-2231

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 Nielsen's NPI number?

The NPI number for Matthew Nielsen is 1356622401. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Where is Matthew Nielsen located?

Matthew Nielsen practices at 224 W D.L. Ingram Bld. 1408, Cannon Afb, NM 88103. The listed phone number is (575) 784-4041.

What is Matthew Nielsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Matthew Nielsen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Nielsen was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.