NPIMap

Organization Active NPI

Melvin L. Matsuda DDS PC

  • Periodontics
  • Hillsboro, OR
National Provider Identifier
1043428436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D5387 Issued in CA
Legal business name
MELVIN L. MATSUDA DDS PC
Practice address
363 SE 4TH Ave
Hillsboro, OR 97140-4281
Phone
(503) 640-1313
Fax
(503) 640-0126
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melvin L. Matsuda, DDSNPI 1962524611
Title
Owner
Phone
(503) 640-1313

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X D5387 CA Primary

Addresses

Primary practice location

363 SE 4TH Ave
Hillsboro, OR 97140-4281

Mailing address

363 SE 4TH Ave
Hillsboro, OR 97123-4281
Phone (503) 640-1313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043428436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 SE 4TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234281",
            "telephone_number": "503-640-1313",
            "fax_number": "503-640-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 SE 4TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971404281",
            "telephone_number": "503-640-1313",
            "fax_number": "503-640-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN L. MATSUDA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATSUDA",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-640-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "D5387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.