Organization Active NPI

Perfect Smile Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ferndale, WA
National Provider Identifier
1063923381
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00009470 Issued in WA
Legal business name
PERFECT SMILE ORTHODONTICS PLLC
Doing business as
Yeh Orthodontics
Practice address
2141 Washington St Ste 101
Ferndale, WA 98248-9183
Phone
(360) 676-9222
Fax
(360) 676-9223
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Matthew YehNPI 1720099914
Title
Member
Phone
(360) 676-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X DE00009470 WA Primary

Addresses

Primary practice location

2141 Washington St Ste 101
Ferndale, WA 98248-9183

Mailing address

PO Box 966
Ferndale, WA 98248-0966
Phone (360) 676-9222

Other names 1

  • Yeh Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2141 Washington St
Ste 101
Ferndale, WA 98248
Phone (360) 676-9222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1063923381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982480966",
            "telephone_number": "360-676-9222",
            "fax_number": "360-676-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 WASHINGTON ST STE 101",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489183",
            "telephone_number": "360-676-9222",
            "fax_number": "360-676-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SMILE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-676-9222"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00009470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yeh Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferndale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.