Dejan Matijevic, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

19787 Issued in AZ

Practice address

6029 N 7TH St
Phoenix, AZ 85014-1802

Phone

(602) 252-6000

NPI assigned

Jun 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1205497542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E TURNEY AVE APT 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144417",
            "telephone_number": "623-200-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141802",
            "telephone_number": "602-252-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIJEVIC",
        "first_name": "DEJAN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "AZ",
            "license": "19787",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AZ",
            "license": "19787",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "AZ",
            "license": "19787",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "19787",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "19787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wana Mathieu
• David Riley Mathis
• Stefanie Mathis, MS, CCC-SLP
• Eric Steven Mathson
• Lanie Matias
• Nassim Matin, M.D.
• Vafa Matin, DO
• Thomas J. Matiski, M.D.
• Charles Matlin, M.D.
• Pamela Matlin, OTRL

• Naturopath in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Naturopath in Arizona

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

Verify at the official NPI Registry.