Dr Matt D Richards DDS PS

Primary specialty

DentistTaxonomy code 122300000X

License

60284255 Issued in WA

Legal business name

DR MATT D RICHARDS DDS PS

Practice address

17331 135TH Ave NE
Suite D
Woodinville, WA 98072-8596

Phone

(425) 296-2728

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Matt D Richards, DDS

Title

President/Dentist

Phone

(425) 296-2728

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1013330026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17331 135TH AVE NE",
            "address_2": "SUITE D",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728596",
            "telephone_number": "425-296-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17331 135TH AVE NE",
            "address_2": "SUITE D",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728596",
            "telephone_number": "425-296-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MATT D RICHARDS DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "425-296-2728",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60284255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee M Diskin, COTA/L
• Megan H Dittmar, PT
• George Alphonse Doty, RPH
• Cristin Erye Dowd, DDS
• Dr Amy Damore PLLC
• Dr. Aaron H. Keith, PLLC
• Gemma Drouhard Stilley, MA, LMFT
• Penny Jelan Dry, RN
• Lauren Dudugjian, MS-LMFT, MDIV
• Andrew Michael Dujenski, BS, DPT

• Dentist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.