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MATTHEW LOUIS BOBBERA D.D.S
NPI 1447552047
Dentist - Prosthodontics in Knoxville, TN

Active since December 02, 2010Opted out of Medicare · through Jan 1, 2028
306 PROSPERITY RD, SUITE 201, KNOXVILLE, TN 37923(865) 769-0886 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Louis Bobbera D.d.s NPPES

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

MATTHEW LOUIS BOBBERA D.D.S (NPI 1447552047) is an individual prosthodontics provider in Knoxville, Tennessee, licensed in Tennessee (9890) and active in the NPI registry since December 2010. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1447552047
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameMATTHEW LOUIS BOBBERACredential: D.D.S
Location Address306 PROSPERITY RD, SUITE 201Knoxville, TN 37923-4700
Mailing Address306 Prosperity Rd, Suite 201Knoxville, TN 37923-4700 · (304) 692-1822
Phone(865) 769-0886
Sole ProprietorNo
Enumeration DateDecember 2, 2010
Last NPPES UpdateJuly 10, 2014
✔ NPI 1447552047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in TN · 9890
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 3923 (WV)
306 PROSPERITY RD, Knoxville, TN 37923
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Matthew Louis Bobbera D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Bobbera's NPI number?

The NPI number for Matthew Bobbera is 1447552047. It was assigned to this individual provider in the NPPES registry on December 2, 2010.

Where is Matthew Bobbera located?

Matthew Bobbera practices at 306 Prosperity Rd Suite 201, Knoxville, TN 37923. The listed phone number is (865) 769-0886.

What is Matthew Bobbera's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Matthew Bobbera enrolled in Medicare?

No. Matthew Bobbera has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Matthew Bobbera was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.