Individual provider Active NPI

John Norman Matschek V, D.M.D.

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1952302572
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4748 Issued in OR
Practice address
5440 SW Westgate Dr
Sutie 390
Portland, OR 97221-2420
Phone
(503) 291-7815
Fax
(503) 292-2752
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4748 OR Primary

Addresses

Primary practice location

5440 SW Westgate Dr
Sutie 390
Portland, OR 97221-2420

Mailing address

5440 SW Westgate Dr
Sutie 390
Portland, OR 97221-2420
Phone (503) 291-7815

Other identifiers 1

IdentifierTypeStateIssuer
4748OtherORDENTAL LICENSE

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
4748ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
J. Norman Matschek, DMD, P- Past Accepting new patients

Organizations & group practices 1

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952302572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 SW WESTGATE DR",
            "address_2": "SUTIE 390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212420",
            "telephone_number": "503-291-7815",
            "fax_number": "503-292-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 SW WESTGATE DR",
            "address_2": "SUTIE 390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212420",
            "telephone_number": "503-291-7815",
            "fax_number": "503-292-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSCHEK",
        "first_name": "JOHN",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "4748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "4748",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.