Organization Active NPI

Mint Kids Dentistry

  • Pediatric Dentistry
  • Bellevue, WA
National Provider Identifier
1093505422
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MINT KIDS DENTISTRY
Practice address
1500 145TH PL SE
Bellevue, WA 98007-5516
Phone
(425) 321-0833
Fax
(425) 310-3772
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Matthew Yeh, BDS
Title
Member
Phone
(360) 441-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1500 145TH PL SE
Bellevue, WA 98007-5516

Mailing address

2141 Washington St Ste 110
Ferndale, WA 98248-9183
Phone (360) 441-3999

National Provider Directory

National Provider Directory

Locations

2141 Washington St
Ste 110
Ferndale, WA 98248

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1093505422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 WASHINGTON ST STE 110",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489183",
            "telephone_number": "360-441-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 145TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075516",
            "telephone_number": "425-321-0833",
            "fax_number": "425-310-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-441-3999",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.