NPIMap

Organization Active NPI

Sonu Mathur DDS PLLC

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1093293748
Registry record updated Aug 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SONU MATHUR DDS PLLC
Practice address
11066 5TH Ave NE Ste 102
Seattle, WA 98125-6156
Phone
(206) 362-8200
NPI assigned
Aug 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2018

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

Authorized official

Name
Sonu MathurNPI 1821264177
Title
Governing Person
Phone
(425) 830-4104

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11066 5TH Ave NE Ste 102
Seattle, WA 98125-6156

Mailing address

5114 192ND Dr NE
Sammamish, WA 98074-4638

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1533340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533340800000",
    "number": "1093293748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 192ND DR NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980744638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11066 5TH AVE NE STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256156",
            "telephone_number": "206-362-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONU MATHUR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-04",
        "last_updated": "2018-08-04",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "SONU",
        "authorized_official_title_or_position": "GOVERNING PERSON",
        "authorized_official_telephone_number": "425-830-4104"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2018; 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.