Matthew L McCleery, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D9284 Issued in OR

Practice address

2590 NE Courtney Dr
Suite 2
Bend, OR 97701-7640

Phone

(541) 389-2905

Fax

(541) 389-2936

NPI assigned

May 29, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Murtaugh Dental, PC

  • General Practice Dentistry
  • Bend, OR
  • NPI 1184955825
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1144488982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60520 WARD RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029788",
            "telephone_number": "541-480-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 NE COURTNEY DR",
            "address_2": "SUITE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017640",
            "telephone_number": "541-389-2905",
            "fax_number": "541-389-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEERY",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500630987",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley McClary
• Keegan John McClary, MD
• McCleery Chiropractic Health Centre PC
• Daniel Michael McCleery, D.C.
• Jennifer Holly McCleery, PA-C
• James H McClelland, M.D.
• Nicole Renee McClendon, LMSW
• David J McClintock
• Antonia Lynn McClune, DPM
• Aleena L McClure

• Dentist in Bend, OR
• Providers in Bend, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.