Individual provider

Matthew Standridge, D.D.S.

Public Health Dentistry General Practice Dentistry Medicare enrolled

Matthew Standridge, D.D.S. is a provider specialising in Public Health Dentistry in Potosi, MO, registered under NPI 1255650529. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1 SOUTHTOWNE DR, Potosi, MO 63664. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1 SOUTHTOWNE DR, Potosi, MO 63664 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2010016150 MO Public Health Dentistry
60776 KS Public Health Dentistry primary
60776 KS General Practice Dentistry

Licences are recorded in 2 states: MO, KS. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dentist
PAC ID
2466955372
Enrollment ID
I20250915002186

Medicare enrolment is recorded as approved under the provider type Practitioner - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Kansas and Missouri. The practice address on file is in Potosi, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KS Kansas
Licence
60776
Specialty
Public Health Dentistry
Verify with the KS board →
MO Missouri practice address
Licence
2010016150
Specialty
Public Health Dentistry
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Dental Public Health covers

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. NUCC Health Care Provider Taxonomy, code 1223D0001X
Dental Providers Dentist Dental Public Health

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223D0001X Public Health Dentistry Dental Public Health 2010016150 MO
1223D0001X Public Health Dentistry Dental Public Health 60776 KS primary
1223G0001X General Practice Dentistry General Practice 60776 KS

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255650529 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 25, 2010
Last updatedAug 5, 2011
StatusActive
Sole proprietorNo
GenderMale
CredentialD.D.S.
Practice address 1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-8401
Mailing address 420 W 15TH AVE
Emporia, KS 66801
This record was last updated on Aug 5, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1255650529 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 6 5 0 5 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 3 5 0 5 4

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255650529?
NPI 1255650529 is the National Provider Identifier assigned to Matthew Standridge, D.D.S. in Potosi, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dental Public Health cover?
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental…
How do I contact Matthew Standridge, D.D.S.?
The phone number on file with NPPES is (573) 438-8401, last updated Aug 5, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Matthew Standridge, D.D.S. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255650529 a valid number?
Yes. 1255650529 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.