Eric Matzelle, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D9528 Issued in OR

Practice address

18807 SE McLoughlin Blvd
Milwaukie, OR 97267-6735

Phone

(503) 657-0399

NPI assigned

Jan 5, 2011

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1437453420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15972 NW RONDOS DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299238",
            "telephone_number": "503-702-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18807 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676735",
            "telephone_number": "503-657-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZELLE",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mati
• Beth M Matile, DMD
• David D Matile, DMD
• Matthew T a Sugalski MD PC
• Matthew's Family Primary Care, LLC
• Wendy Maybury
• Dennis O. Mayer, MD
• Ian Thomas McAnnis-Entenman
• John McCabe
• Kelly Michele McCall, MSPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.