Matthew Ticich, DMD
NPI 1407297484 · Endodontics · Fort Campbell, KY
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Ticich, DMD is a Endodontics provider in Fort Campbell, KY (NPI 1407297484).
Provider details
- NPI number
- 1407297484
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DEN.00203425 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-08
- Last updated
- 2023-03-24
- Certified
- 2023-03-24
Frequently asked questions
- What is Matthew Ticich's NPI number?
- Matthew Ticich's National Provider Identifier (NPI) is 1407297484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Ticich's specialty?
- Matthew Ticich is listed in the NPPES registry with a primary specialty of Endodontics (Dental Providers).
- Where is Matthew Ticich located?
- Matthew Ticich's practice location on file with NPPES is 6145 Desert Storm Ave, Fort Campbell, KY 42223-5558.
- What is Matthew Ticich's phone number?
- The practice phone number listed in the NPPES registry for Matthew Ticich is (951) 529-2070.
- Does Matthew Ticich accept Medicare?
- Matthew Ticich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Ticich's NPI active?
- Yes — Matthew Ticich's NPI (1407297484) is active in the NPPES registry as of the last update on 2023-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.