Individual provider Active NPI

Tori Nicole Matthys, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodinville, WA
National Provider Identifier
1336398395
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE60163360 Issued in WA
Practice address
13317 NE 175TH St Ste Aa
Woodinville, WA 98072-6815
Phone
(425) 224-7614
NPI assigned
Sep 15, 2008
Last updated
Oct 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE60163360 WA Primary

Addresses

Primary practice location

13317 NE 175TH St Ste Aa
Woodinville, WA 98072-6815

Mailing address

13317 NE 175TH St Ste Aa
Woodinville, WA 98072-6815
Phone (425) 224-7614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105002303 WA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9638450620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1336398395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13317 NE 175TH ST STE AA",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726815",
            "telephone_number": "425-224-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13317 NE 175TH ST STE AA",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726815",
            "telephone_number": "425-224-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHYS",
        "first_name": "TORI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60163360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.