Individual provider Active NPI

Matthew Ferrin

  • Pediatric Dentistry
  • Oxnard, CA
National Provider Identifier
1811564925
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
109344 Issued in CA
Practice address
1600 W Gonzales Rd Ste C
Oxnard, CA 93036-7789
Phone
(805) 755-4371
NPI assigned
Jun 7, 2021
Reactivated
Apr 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS109344 CA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 109344 CA Primary

Addresses

Primary practice location

1600 W Gonzales Rd Ste C
Oxnard, CA 93036-7789

Mailing address

2180 Coalfax CT
Thousand Oaks, CA 91362-1747
Phone (805) 279-2072

Other practice location 1

1140 E Thousand Oaks Blvd
Thousand Oaks, CA 91362-2815
Phone (888) 300-0071

Other names 1

  • Mr. Matt Ferrin Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Matthew.ferrin@icloud.com Direct

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

State licenses

LicenseStateTypeSpecialty
DDS109344CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobson Dental Corp Pediatric Dentistry CurrentSince Sep 3, 2025 Accepting new patients
Dr. Page Hudson Dental Corporation Pediatric Dentistry CurrentSince Sep 3, 2025 Accepting new patients
Matthew Ferrin DDS, Inc. Pediatric Dentistry Current Accepting new patients
Kohanzadeh Dental Corp PastSince Mar 3, 2024 Accepting new patients

Locations

1600 W Gonzales Rd
Ste C
Oxnard, CA 93036
Phone (805) 755-4371

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1811564925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 COALFAX CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913621747",
            "telephone_number": "805-279-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W GONZALES RD STE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930367789",
            "telephone_number": "805-755-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 E Thousand Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913622815",
            "country_code": "US",
            "telephone_number": "888-300-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRIN",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "deactivation_date": "2024-04-03",
        "reactivation_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS109344",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "109344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Matthew.ferrin@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3245 S Sepulveda Blvd Apt 201",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900344210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "FERRIN",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.