DR. MATTHEW HENRICHSEN WILLIS D.D.S
NPI 1861749665
Dentist - General Practice in Creedmoor, NC

Q: What is Matthew Willis's NPI number?

The NPI number for Matthew Willis is 1861749665. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Q: What is Matthew Willis'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 Willis was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 10, 2012PECOS Enrolled

110 W CHURCH ST, CREEDMOOR, NC 27522(919) 528-4004(919) 528-2211 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Matthew Henrichsen Willis D.d.s NPPES

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

DR. MATTHEW HENRICHSEN WILLIS D.D.S (NPI 1861749665) is an individual general practice provider in Creedmoor, North Carolina, licensed in North Carolina (9322) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861749665

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MATTHEW HENRICHSEN WILLISCredential: D.D.S

Location Address110 W CHURCH STCreedmoor, NC 27522-9747

Mailing Address110 W Church StCreedmoor, NC 27522-9747 · (919) 528-4004 · Fax (919) 528-2211

Phone(919) 528-4004

Fax(919) 528-2211

Sole ProprietorNo

Enumeration DateAugust 10, 2012

Last NPPES UpdateSeptember 11, 2015

✔ NPI 1861749665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 9322

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.

110 W CHURCH ST, Creedmoor, NC 27522

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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 Henrichsen Willis 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 27522 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 3

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

KOREN & ASSOCIATES, DDS, PA

Dentist (General Practice)

110 W CHURCH ST
CREEDMOOR, NC 27522

Granville County (919) 528-0800

BENJAMIN KOREN, D.D.S. III. P.A,

Dentist

110 W CHURCH ST
CREEDMOOR, NC 27522

Granville County (919) 528-4004

DR. AARON SCOTT HEWETT DMD

Dentist

110 W CHURCH ST
CREEDMOOR, NC 27522

Granville County (919) 528-4004

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 Willis's NPI number?

The NPI number for Matthew Willis is 1861749665. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Where is Matthew Willis located?

Matthew Willis practices at 110 W Church St, Creedmoor, NC 27522. The listed phone number is (919) 528-4004.

What is Matthew Willis's specialty?

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

Is Matthew Willis enrolled in Medicare?

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

What insurance does Matthew Willis 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 NC and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Matthew Willis 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 Willis was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.