Matt James Hoidal, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D9075 Issued in OR

Practice address

300 Oswego Pointe Dr
Ste 106
Lake Oswego, OR 97034-3254

Phone

(503) 635-3584

Fax

(503) 635-6813

NPI assigned

Dec 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Matt Hoidal, DDS, Ms, PC

  • Dental Clinic/Center
  • Lake Oswego, OR
  • NPI 1588809974
  NPD (past) Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1164605259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OSWEGO POINTE DR",
            "address_2": "STE 106",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343254",
            "telephone_number": "503-635-3584",
            "fax_number": "503-635-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OSWEGO POINTE DR",
            "address_2": "STE 106",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343254",
            "telephone_number": "503-635-3584",
            "fax_number": "503-635-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOIDAL",
        "first_name": "MATT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D9075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle William Hirth, PHARMD
• Katelyn Hitchcock, LMT
• Rachel Hnizdil, MS QMHP LMFTI
• Jeffrey E Hoffman, M.D.
• Rachel E Hogan, DMD
• Amy Holbrook, LCSW
• Sarah Holder
• Holiday Al Nic Management LLC (Holiday Retirement)
• David Holloway, LMT
• Holly Shumway Counseling

• Periodontics in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Periodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.