Individual provider Active NPI

Matthew Dean Doepking, MPAS, PA-C

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1750430906
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
Comdt CG-1122 U S Coast Guard
2100 2ND St. SW, Suite 5314
Washington, DC 20593-0001
Phone
(310) 653-6870
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

Comdt CG-1122 U S Coast Guard
2100 2ND St. SW, Suite 5314
Washington, DC 20593-0001

Mailing address

Comdt CG-1122 U S Coast Guard
2100 2ND St. SW, Suite 5314
Washington, DC 20593-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1750430906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMDT CG-1122 U S COAST GUARD",
            "address_2": "2100 2ND ST. SW, SUITE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMDT CG-1122 U S COAST GUARD",
            "address_2": "2100 2ND ST. SW, SUITE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "310-653-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEPKING",
        "first_name": "MATTHEW",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.