Dana Matlock, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

D10047 Issued in OR

Practice address

123 SE Douglas St
Newport, OR 97365-4426

Phone

(541) 264-2800

Fax

(541) 264-2800

NPI assigned

Jun 20, 2014

Last updated

Mar 31, 2023By the provider in NPPES

Sex

Female

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

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dana Matlock, DDS, LLC

  • Dental Clinic/Center
  • Newport, OR
  • NPI 1407489826
  NPD Authorized official
• Lincoln City Family Dental LLC

  dba Lincoln City Family Dental

  • Dentist
  • Lincoln City, OR
  • NPI 1346831096
  NPD Authorized official
• Matlock Dental LLC

  • Dental Clinic/Center
  • Eugene, OR
  • NPI 1407551484
  NPD Authorized official

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1356756001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SE DOUGLAS ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654426",
            "telephone_number": "541-264-2800",
            "fax_number": "541-264-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SE DOUGLAS ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654426",
            "telephone_number": "541-264-2800",
            "fax_number": "541-264-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 SE 1st St",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973672803",
            "country_code": "US",
            "telephone_number": "541-994-8935",
            "fax_number": "541-994-8935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016001",
            "country_code": "US",
            "telephone_number": "541-343-8527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "DANA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Martinez, QMHA-R
• Amanda Martins, APRN, FNP-C
• Justin Dore Mason, CRM, PSS
• Jake D Mathis
• Michelle Mathis
• Kazuyuki Matsuoka, LD
• Savannah Marie Matthews
• F. Brent May, DMD, MSD
• Jean Marie McAbee, LMFT
• Rebecca Christine McBee-Wilson, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.