Active NPI
Matthew C Dean, DC MS
- Chiropractor
- Portland, OR
National Provider Identifier
1013558865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6027
- Practice address
- 2440 SE 89TH Ave
Portland, OR 97216-2053 - Phone
- (503) 771-5555
- NPI assigned
- Oct 3, 2019
- Last updated
- Oct 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6027 | OR | Primary |
Addresses
Primary practice location
2440 SE 89TH Ave
Portland, OR 97216-2053
Mailing address
2440 SE 89TH Ave
Portland, OR 97216-2053
Phone (503) 771-5555
Other practice location 1
2168 Lancaster Dr NE
Salem, OR 97305-1227
Phone (503) 689-1916
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cms.officeally.com/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6027 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Chiropractors PC | Chiropractor | Current | Accepting new patients |
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": []
}
Other providers in Portland, OR
Sources for this page
- 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.