NPIMap

Organization Active NPI

Martin J Matovich DMD LLC

  • Dental Clinic/Center
  • Vancouver, WA
National Provider Identifier
1013480573
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARTIN J MATOVICH DMD LLC
Practice address
300 SE 120TH Ave Ste 400
Vancouver, WA 98683-4020
Phone
(360) 256-3570
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Martin J Matovich, DMDNPI 1679593149
Title
President
Phone
(360) 256-3570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

300 SE 120TH Ave Ste 400
Vancouver, WA 98683-4020

Mailing address

300 SE 120TH Ave Ste 400
Vancouver, WA 98683-4020
Phone (360) 256-3570

National Provider Directory

National Provider Directory

Locations

300 SE 120th Ave
Ste 400
Vancouver, WA 98683
Phone (360) 256-3570

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1013480573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE 120TH AVE STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834020",
            "telephone_number": "360-256-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 120TH AVE STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834020",
            "telephone_number": "360-256-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN J MATOVICH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "MATOVICH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-256-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.