Matthew C Dean, DC MS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6027 Issued in OR

Practice address

2440 SE 89TH Ave
Portland, OR 97216-2053

Phone

(503) 771-5555

NPI assigned

Oct 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles (1 of 3)

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
• WA PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Portland Chiropractors PC

  • Chiropractor
  • Portland, OR
  • NPI 1821977372
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1013558865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SE 89TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162053",
            "telephone_number": "503-771-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SE 89TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162053",
            "telephone_number": "503-771-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2168 Lancaster Dr NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973051227",
            "country_code": "US",
            "telephone_number": "503-689-1916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cms.officeally.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2440 SE 89th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972162053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keli Jayne Dean, PSY.D.
• Kelly Lynn Dean
• Kevin L Dean, M.D.
• Laura Macmaster Dean, RDN, CLT, IFNCP
• Mary Celeste Dean, MA
• Victoria Dean
• Bryan Deangelis
• Kimberlee Deangelis
• Trinka M Deangelo, M.S., CCC-SLP
• Deanna L. Lee DMD, LLC

• All providers in Portland, OR
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.