DR. BRADFORD DAVID MATIASEVICH D.D.S.
NPI 1720246473
Dentist - General Practice in Freedom, CA

Active since May 29, 2008
256 GREEN VALLEY RD, FREEDOM, CA 95019(831) 722-4666(831) 728-0750 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradford David Matiasevich D.d.s. NPPES

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

DR. BRADFORD DAVID MATIASEVICH D.D.S. (NPI 1720246473) is an individual general practice provider in Freedom, California, licensed in California (BM46643) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1720246473
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRADFORD DAVID MATIASEVICHCredential: D.D.S.
Location Address256 GREEN VALLEY RDFreedom, CA 95019-3139
Mailing Address256 Green Valley RdFreedom, CA 95019-3139 · (831) 722-4666 · Fax (831) 728-0750
Fax(831) 728-0750
Sole ProprietorYes
Enumeration DateMay 29, 2008
NPI 1720246473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · BM46643
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.
Also ListedDentistTaxonomy 122300000X · License BM46643 (CA)
256 GREEN VALLEY RD, Freedom, CA 95019

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
256 GREEN VALLEY RD
FREEDOM, CA 95019
Clinic/Center (Dental)
256 GREEN VALLEY RD
FREEDOM, CA 95019
Dentist (General Practice)
256 GREEN VALLEY RD
FREEDOM, CA 95019

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 Bradford Matiasevich's NPI number?

The NPI number for Bradford Matiasevich is 1720246473. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Bradford Matiasevich located?

Bradford Matiasevich practices at 256 Green Valley Rd, Freedom, CA 95019. The listed phone number is (831) 722-4666.

What is Bradford Matiasevich's specialty?

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

What insurance does Bradford Matiasevich 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 7 other insurers list Bradford Matiasevich 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 Bradford Matiasevich was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.