Individual provider Active NPI

Matthew Denick, HHP, BCLMT

  • Massage Therapist
  • San Diego, CA
National Provider Identifier
1902787658
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
556243-08 Issued in CA
Practice address
5755 Oberlin Dr # 332
San Diego, CA 92121-1786
Phone
(619) 757-4682
NPI assigned
Sep 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 556243-08 CA Primary

Addresses

Primary practice location

5755 Oberlin Dr # 332
San Diego, CA 92121-1786

Mailing address

5755 Oberlin Dr # 332
San Diego, CA 92121-1786
Phone (619) 757-4682

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
556243-08CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1902787658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR # 332",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211786",
            "telephone_number": "619-757-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR # 332",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211786",
            "telephone_number": "619-757-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENICK",
        "first_name": "MATTHEW",
        "credential": "HHP, BCLMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "556243-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.