Matthew a Roane DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D9064 Issued in OR

Legal business name

MATTHEW A ROANE DMD PC

Practice address

1673 10TH St Ste B
West Linn, OR 97068-4679

Phone

(503) 657-1215

Fax

(503) 657-8307

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matthew A Roane, D.M.D.NPI 1972706919

Title

Owner/Dentist

Phone

(503) 657-1215

Specialties & licenses 1

Addresses

Other names 1

• Roane Family Dental Doing business as

Locations

Practitioners 2

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

• Matthew A. Roane, D.M.D.

  • Dentist
  • West Linn, OR
  • NPI 1972706919
  NPD (past) Authorized official
• James Monte Barless, DMD

  • General Practice Dentistry
  • West Linn, OR
  • NPI 1003980574
  NPD (past)

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1093081606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 10TH ST STE B",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684679",
            "telephone_number": "503-657-1215",
            "fax_number": "503-657-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 10TH ST STE B",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684679",
            "telephone_number": "503-657-1215",
            "fax_number": "503-657-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A ROANE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "ROANE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-657-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D9064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roane Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Martell, DPT
• Martin Brother, L.Ac.
• Jordan Martin
• Tianna Renee Martinez, LMT
• Marylhurst Ear, Nose, Throat, Head & Neck Surgery
• Lindsey Nicole Matusak, DC
• Kristen Maughan
• Maximum Health Clinic
• Maximum Health Clinic II LLC
• Tabitha Vashtie Maxwell, LMT

• Dental Clinic/Center in West Linn, OR
• Providers in West Linn, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.