Matthew R Hicks DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MATTHEW R HICKS DMD PC

Practice address

6200 SE Milwaukie Ave
Portland, OR 97202-5417

Phone

(971) 645-8277

Fax

(888) 246-0768

NPI assigned

Feb 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Hicks, DMDNPI 1982601142

Title

Dentist

Phone

(971) 645-8277

Specialties & licenses 1

Addresses

Other names 1

• Moreland Neighborhood Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Robert Hicks, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1982601142
  NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1750146874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025417",
            "telephone_number": "971-645-8277",
            "fax_number": "888-246-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025417",
            "telephone_number": "971-645-8277",
            "fax_number": "888-246-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW R HICKS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "971-645-8277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreland Neighborhood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christa Mattes
• Julie Lee Matteson, ANP-C
• Neil Arthur Matteucci, M.D.
• Virginia L Mattfeld, RDH
• Tessa Suzanne Mattfield, QMHA
• Matthew S Newey LPC Corp
• Lori Denise Matthews-Kumm, QMHA
• Airreca Storm Marie Matthews
• Annette Marie Matthews, MD
• Ginger Matthews, CADC 1

• General Practice Dentistry in Portland, OR
• Providers in Portland, 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 Feb 19, 2024; 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.