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Matthew James Rasmussen, D.M.D.

Student in an Organized Health Care Education/Training Program in Birmingham, AL. Individual provider (NPI-1).

NPI number1124384409
StatusActive
Last updated in NPPESApr 11, 2012

Details

NPI
1124384409
Entity type
Individual (NPI-1)
Name
Matthew James Rasmussen
Credential
D.M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2012
Last updated
Apr 11, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

619 19th St S
Birmingham, AL 35249-1900

Phone 205-934-2559

Mailing address

619 19th St S
Birmingham, AL 35249-1900

Phone 205-934-2559

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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