Active NPI
Mint Kids Dentistry
- Pediatric Dentistry
- Bellevue, WA
National Provider Identifier
1093505422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.