Rick A. Matthias, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5652 Issued in OR

Practice address

18925 SW 84TH Ave
Tualatin, OR 97062-9477

Phone

(503) 692-1970

Fax

(503) 691-0246

NPI assigned

Jun 15, 2011

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1366737587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18925 SW 84TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629477",
            "telephone_number": "503-692-1970",
            "fax_number": "503-691-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18925 SW 84TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629477",
            "telephone_number": "503-692-1970",
            "fax_number": "503-691-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIAS",
        "first_name": "RICK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "5652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Gregory Marshall, FNP-C
• Lindsay Ann Marshall
• Anne Elizabeth Martin, MA. CCC-SLP
• Rachel Martinez, IBCLC, RLC
• Yusuf Tumuti Mathai, MD
• Krista Mattson, D.D.S
• Kristin Kathleen Mauer, PA C
• Jude Taylor Mauge
• Patrick G McBee, M.D.
• Susan McCall, MD

• General Practice Dentistry in Tualatin, OR
• Providers in Tualatin, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.