Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952854044 Individual Practitioner Male Practitioner

Dr. Joao Victor De Oliveira Matias , DDS

Dentist - General Practice • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Dr. Joao Victor Matias, DDS is a registered healthcare professional specializing in Dentist - General Practice in Melbourne, FL. Practice services are available at 7777 N WICKHAM RD STE 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7777 N Wickham Rd Ste 4

Melbourne, FL 329407978

Telephone 3212556303
Associated Practice Facility / Clinic
🏢 Coast Florida Pa Facility NPI 1275109258

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
84 Specialists

Practicing in Melbourne, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN24641

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401415860

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Va Dental License
0401415860 (VA)
Commercial Insurance / Payer ID Fl Dental License
DN24641 (FL)

Secondary Practice Locations

2041 Georgia Ave Nw Ste 2b-01

Washington, DC 200601022

Phone: 2028651491

600 W St Nw, Suite 301

Washington, DC 200591022

Phone: 2028060020

5900 E Virginia Beach Blvd Ste 70

Norfolk, VA 235022514

Phone: 7576444358

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
David Spector

Dentist - General Practice

NPI 1144331265
Monica Champagne , RDH

Dental Hygienist

NPI 1144825076

Registered Dental Hygienist

James Roppa

Dentist - General Practice

NPI 1255422515
Dr. Brandon Nguyen , DMD

Dentist - General Practice

NPI 1568423796

Doctor of Dental Medicine

Dr. Omar Elkhabbaz , DMD

Dentist - General Practice

NPI 1649933151

Doctor of Dental Medicine

Dr. Barbara Stefanczyk , DDS

Dentist - General Practice

NPI 1699061432

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location June 12, 2020

Registered at 7777 N WICKHAM RD STE 4, MELBOURNE, FL 329407978 (Tel: 3212556303)

📍
Updated Business Mailing Address June 12, 2020

Registered at 4301 COLUMBIA PIKE APT 531, ARLINGTON, VA 222045911 (Tel: 3017855335)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2020

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2019

Dentist (License #0401415860 in VA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active February 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2018

Registered at 5900 E VIRGINIA BEACH BLVD STE 70, NORFOLK, VA 235022514 (Tel: 7576444358)

📍
Updated Business Mailing Address February 09, 2018

Registered at 2041 GEORGIA AVE NW STE 2B-01, WASHINGTON, DC 200600001 (Tel: 2028651491)

👤
Provider Name / Credentials Updated February 09, 2018

Recorded as JOAO VICTOR MATIAS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2018

Dentist (License #0401415860 in VA)

NPI Profile Active July 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2016

Registered at 600 W ST NW, SUITE 301, WASHINGTON, DC 200591022 (Tel: 2028060020)

📍
Updated Business Mailing Address July 26, 2016

Registered at 600 W ST NW, SUITE 301, WASHINGTON, DC 200591022 (Tel: 2028060020)

👤
Provider Name / Credentials Updated July 26, 2016

Recorded as JOAO VICTOR MATIAS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 26, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952854044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2016
Last Update: June 12, 2020
Sole Proprietor: Yes

Mailing Address

4301 Columbia Pike Apt 531

Arlington, VA 222045911

Phone: 3017855335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.