George Cherukara Mathew, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61163535 Issued in WA

Practice address

3235 NW Plaza Rd Unit 2
Silverdale, WA 98383-8101

Phone

(412) 953-0969

NPI assigned

Oct 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1356851141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 80TH AVE SE APT 204",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402901",
            "telephone_number": "412-953-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 NW PLAZA RD UNIT 2",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838101",
            "telephone_number": "412-953-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "GEORGE",
        "middle_name": "CHERUKARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61163535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R Martinez
• Kendra Manzoni Martinez, ARNP
• Ishita Masand, DDS
• Master'S Orthotics and Prosthetics, LLC
• Master'S Orthotics and Prosthetics, LLC
• Matthew a Pollard DDS PC
• Joshua A Matthews, PHARMD
• Maughan Prosthetic & Orthotic, Inc.
• Justin M Maughan, CPO
• Laura Semones Maxwell

• General Practice Dentistry in Silverdale, WA
• Providers in Silverdale, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.