DENNIS MARK MATLOCK RS1503
NPI 1457490088
Counselor - Addiction (Substance Use Disorder) in Indio, CA

Active since February 06, 2007
83912 AVENUE 45 STE 9, INDIO, CA 92201(760) 347-0754 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dennis Mark Matlock Rs1503 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENNIS MARK MATLOCK RS1503 (NPI 1457490088) is an individual addiction (substance use disorder) provider in Indio, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1457490088
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDENNIS MARK MATLOCKCredential: RS1503
Location Address83912 AVENUE 45 STE 9Indio, CA 92201-3338
Mailing AddressPo Box 2023Yucca Valley, CA 92286-2023 · (760) 347-0754
Sole ProprietorYes
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1457490088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
83912 AVENUE 45 STE 9, Indio, CA 92201

Other Names 1

Former Name (1)Dennis Mark Matlock Rs1503

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
83912 AVENUE 45 STE 9
INDIO, CA 92201
Counselor (Addiction (Substance Use Disorder))
83912 AVENUE 45 STE 9
INDIO, CA 92201
Counselor (Addiction (Substance Use Disorder))
83912 AVENUE 45 STE 9
INDIO, CA 92201
Counselor (Addiction (Substance Use Disorder))
83912 AVENUE 45 STE 9
INDIO, CA 92201
Marriage & Family Therapist
83912 AVENUE 45 STE 9
INDIO, CA 92201
Counselor (Addiction (Substance Use Disorder))
83912 AVENUE 45 STE 9
INDIO, CA 92201
Counselor (Addiction (Substance Use Disorder))
83912 AVENUE 45 STE 9
INDIO, CA 92201
Counselor (Addiction (Substance Use Disorder))
83912 AVENUE 45 STE 9
INDIO, CA 92201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dennis Matlock's NPI number?

The NPI number for Dennis Matlock is 1457490088. It was assigned to this individual provider in the NPPES registry on February 6, 2007. The provider is also known as Dennis Mark Matlock Rs1503.

Where is Dennis Matlock located?

Dennis Matlock practices at 83912 Avenue 45 Ste 9, Indio, CA 92201. The listed phone number is (760) 347-0754.

What is Dennis Matlock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dennis Matlock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.