Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1558450007 Deactivated / Inactive NPI Male Practitioner

Dr. Mathew Anthony Negrelli , DDS

Dentist - General Practice • Columbus, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mathew Negrelli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2006
NPI Deactivation Date January 31, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mathew Negrelli, DDS was a registered Dentist - General Practice practicing in Columbus, IN. Throughout an active medical career spanning 16 years, Dr. Negrelli provided care at the practice location at 4020 W GOELLER BLVD until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

4020 W Goeller Blvd
Suite A

Columbus, IN 472018273

Telephone 8123420766
Fax 8123422427
Associated Practice Facility / Clinic
🏢 Access Counseling, Llc Facility NPI 1891819918

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
32 Specialists

Practicing in Columbus, IN (2204 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12009878A

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Beth Carter , DDS

Dentist - General Practice

NPI 1487687307

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active March 06, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 06, 2017

Registered at 3099 CENTRAL AVE, LAKE STATION, IN 464052207 (Tel: 2197638112)

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Updated Business Mailing Address March 06, 2017

Registered at PO BOX 1430, PORTAGE, IN 463689230 (Tel: 2197638112)

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Provider Name / Credentials Updated March 06, 2017

Recorded as MATHEW NEGRELLI, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2017

Dentist (License #12009878A in IN)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 4020 W GOELLER BLVD, SUITE A, COLUMBUS, IN 472018273 (Tel: 8123420766)

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Updated Business Mailing Address July 09, 2007

Registered at 4020 W GOELLER BLVD, SUITE A, COLUMBUS, IN 472018273 (Tel: 8123420766)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MATHEW NEGRELLI, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #12009878A in IN)

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Initial NPI Registration & Enumeration October 12, 2006

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: 1558450007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 09, 2007
Deactivation Date: January 31, 2022

Mailing Address

4020 W Goeller Blvd, Suite A

Columbus, IN 472018273

Phone: 8123420766

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.