Matthew Jeremy Malan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

48956 Issued in CA

Practice address

221 W Fir Ave
Ste. 108
Clovis, CA 93611-0221

Phone

(559) 325-8448

Fax

(559) 325-8447

NPI assigned

Apr 11, 2008

Last updated

Apr 30, 2024By the provider in NPPES

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

Enrolled in CA

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

Specialty

Dentist

Education

Univ of the Pacific Dugoni School of Dentistry, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Healthy Sleep Solutions

  • General Practice Dentistry
  • Clovis, CA
  • NPI 1164278974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1598938334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE",
            "address_2": "STE. 108",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110221",
            "telephone_number": "559-325-8448",
            "fax_number": "559-325-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE",
            "address_2": "STE. 108",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110221",
            "telephone_number": "559-325-8448",
            "fax_number": "559-325-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAN",
        "first_name": "MATTHEW",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roudabak Mahjoob, RD
• Jessica Nichols Main, PHARMD
• Majmd Inc
• Joseph H Makhoul
• Constantine Michael Makredes, DPT
• Jimmy Maldonado
• Nancy Maldonado
• Harjesika Malhi, NURSE PRACTITIONER
• Sachin Malik
• Matthew Kelly Malin, LMFT

• Dentist in Clovis, CA
• Providers in Clovis, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.