Matteson Implant and Reconstructive Dentistry PC.
NPI 1679096523ActiveOrganization· Dentist, Prosthodontics· Coeur D Alene, ID
Dentist, Prosthodontics in Coeur D Alene, Idaho, registered in NPPES in July 2017. The authorized official on file is Alvin Brett Matteson, DDS, FACP, Owner/ Prosthodontist.
Overview
| NPI | 1679096523 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | D-4027 | ID |
| Dentist | 122300000X | D-4027 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|