Individual provider Active NPI

Matthew A Pollard, DDS

  • General Practice Dentistry
  • Silverdale, WA
National Provider Identifier
1396149605
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10223 Issued in WA
Practice address
3494 NW Bucklin Hill Rd Ste 200
Silverdale, WA 98383-8390
Phone
(360) 692-4490
NPI assigned
Oct 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10223 WA Primary

Addresses

Primary practice location

3494 NW Bucklin Hill Rd Ste 200
Silverdale, WA 98383-8390

Mailing address

3494 NW Bucklin Hill Rd Ste 200
Silverdale, WA 98383-8390
Phone (360) 692-4490

Other practice location 1

3100 NW Bucklin Hill Rd
Suite 202
Silverdale, WA 98383-8358
Phone (360) 692-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 8, 2018 through Jan 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10223WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1396149605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3494 NW BUCKLIN HILL RD STE 200",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838390",
            "telephone_number": "360-692-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3494 NW BUCKLIN HILL RD STE 200",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838390",
            "telephone_number": "360-692-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 NW Bucklin Hill Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983838358",
            "country_code": "US",
            "telephone_number": "360-692-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.