Tasha Teresa Mathew, DDM

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

70140021 Issued in WA

Practice address

1331 State Ave
Marysville, WA 98270-3604

Phone

(360) 659-6774

NPI assigned

May 18, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376472225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21155 N 56TH ST APT 2021",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545511",
            "telephone_number": "661-304-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703604",
            "telephone_number": "360-659-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "TASHA",
        "middle_name": "TERESA",
        "credential": "DDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "70140021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marysville School District
• Marysville Smile Center LLC
• Marysville Vision Source
• Marysville Vision Source PC
• Maryyon Afh LLC (Afh)
• Grace Claire Mathieson
• Amber Mathis, NAC
• Richard Mattson
• Jeanne Mae Maxwell, CDPT
• Taylor Ann Mayers, LMP

• General Practice Dentistry in Marysville, WA
• Providers in Marysville, 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 Jul 13, 2026; 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.