Matthew Allan Nielsen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D9123 Issued in OR

Practice address

324 SE 9TH Ave
Suite B
Hillsboro, OR 97123-4247

Phone

(503) 648-6671

Fax

(503) 693-1143

NPI assigned

Aug 19, 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

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1215184528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SE 9TH AVE",
            "address_2": "SUITE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234247",
            "telephone_number": "503-648-6671",
            "fax_number": "503-693-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 SE 9TH AVE",
            "address_2": "SUITE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234247",
            "telephone_number": "503-648-6671",
            "fax_number": "503-693-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "MATTHEW",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Nichols, PHARM.D.
• Carli Jo Nicholson Irons, LPC
• Stephanie Nicholss, BA
• Kristi Joy Nieland, RRT
• Kyle Nielsen, RPH
• Lisa Nielssen
• Rebecca L. Niemeyer, LCSW
• Sahaj Singh Nijjar, DDS
• Seth Alan Ninivaggi, PHARM.D.
• Nirvana Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.