Kazuyuki Matsuoka, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

DT-DO-10197097 Issued in OR

Practice address

160 NE 6TH St
Newport, OR 97365-3131

Phone

(451) 265-8200

NPI assigned

Oct 29, 2019

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

Electronic endpoints 1

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1639713019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22524 SW 96TH DR",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627398",
            "telephone_number": "408-621-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NE 6TH ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653131",
            "telephone_number": "451-265-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUOKA",
        "first_name": "KAZUYUKI",
        "name_prefix": "Mr.",
        "credential": "LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO-10197097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaz@rokiseed.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "160 NE 6th St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973653131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Martins, APRN, FNP-C
• Justin Dore Mason, CRM, PSS
• Jake D Mathis
• Michelle Mathis
• Dana Matlock, D.D.S
• Savannah Marie Matthews
• F. Brent May, DMD, MSD
• Jean Marie McAbee, LMFT
• Rebecca Christine McBee-Wilson, LCSW
• Sabrina Ann McCain, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.