MATTHEW WAHLE DDS
NPI 1891552279
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Matthew Wahle's NPI number?

The NPI number for Matthew Wahle is 1891552279. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Q: What is Matthew Wahle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Wahle was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 04, 2024PECOS Enrolled

1 KNEELAND ST, BOSTON, MA 02111(617) 636-6828 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, Mar 4, 2024 (2 updates tracked since 2024).

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About Matthew Wahle Dds NPPES

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

MATTHEW WAHLE DDS (NPI 1891552279) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1891552279

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW WAHLECredential: DDS

Location Address1 KNEELAND STBoston, MA 02111-1529

Mailing Address660 Washington St Apt 2fBoston, MA 02111-3201 · (636) 577-9261

Phone(617) 636-6828

Sole ProprietorNo

Enumeration DateMarch 4, 2024

Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1891552279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 KNEELAND ST, Boston, MA 02111

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Secondary Practice Location 1

Location 11 Kneeland StBoston, MA 02111 · Phone (617) 636-6828

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 Wahle Dds 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.

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.

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