Matthew Dorchester, DC, CCSP, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10597 Issued in AZ

Legal business name

MATTHEW DORCHESTER, DC, CCSP, LLC

Practice address

18325 N Allied Way
Suite 105
Phoenix, AZ 85054-3105

Phone

(480) 991-3399

Fax

(480) 905-0815

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Matthew Dorchester, DC

Title

Physician

Phone

(480) 991-3399

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1962697706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8894 E RUSTY SPUR PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559166",
            "telephone_number": "480-991-3399",
            "fax_number": "480-905-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 N ALLIED WAY",
            "address_2": "SUITE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543105",
            "telephone_number": "480-991-3399",
            "fax_number": "480-905-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW DORCHESTER, DC, CCSP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "DORCHESTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-991-3399",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "1578",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "10597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z117689",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrence M Matteo, PH.D.
• Cameron Michele Mattern
• Thomas Michael Mattern, D.D.S.
• Kaiya Matteson
• Danielle Rodgers Matteucci, LCSW
• Matthew J Cavendish, DDS, PLLC
• Matthew Lonier DDS, PLLC
• Matthew Milana DDS PLLC
• Matthew P. Borst, M.D. P.C.
• Matthew W Smith MD

• General Practice Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.