Active NPI
Matthew Shane Epstein, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Seattle, WA
National Provider Identifier
1417269200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DE60277222
- Practice address
- 7900 E Green Lake Dr N
Suite 302
Seattle, WA 98103-4800 - Phone
- (206) 641-7212
- Fax
- (206) 734-3211
- NPI assigned
- Jul 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE 60277222 | WA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DE60277222 | WA | Primary |
Addresses
Primary practice location
7900 E Green Lake Dr N
Suite 302
Seattle, WA 98103-4800
Mailing address
7900 E Green Lake Dr N
Suite 302
Seattle, WA 98103-4800
Phone (206) 641-7212
Other practice location 1
15823 Westminster Way N
Shoreline, WA 98133-5928
Phone (206) 848-5788
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
- Opted out of Medicare
- Yes, effective Jul 6, 2016 through Jul 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60277222 | WA | MD | Dentist |
| DE60277222 | WA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms Epstein PLLC | Current | Accepting new patients | |
| Green Lake Oral & Facial Surgery | Dentist | Current | Accepting new patients |
| Jawnt Oral Surgery | Past | Accepting new patients |
Locations
7900 E Green Lake Dr N
Ste 302
Seattle, WA 98103
Phone (206) 641-7212
15823 Westminster Way N
Shoreline, WA 98133
Phone (206) 848-5788
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Shoreline, WA
- NPI 1457008435
-
- Oral and Maxillofacial Surgery (Dentist)
- Seattle, WA
- NPI 1275460560
-
- Oral and Maxillofacial Surgery Clinic/Center
- Shoreline, WA
- NPI 1023766565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1417269200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 E GREEN LAKE DR N",
"address_2": "SUITE 302",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981034800",
"telephone_number": "206-641-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 E GREEN LAKE DR N",
"address_2": "SUITE 302",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981034800",
"telephone_number": "206-641-7212",
"fax_number": "206-734-3211"
}
],
"practiceLocations": [
{
"address_1": "15823 Westminster Way N",
"address_purpose": "LOCATION",
"city": "Shoreline",
"state": "WA",
"postal_code": "981335928",
"country_code": "US",
"telephone_number": "206-848-5788",
"fax_number": "206-734-3747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EPSTEIN",
"first_name": "MATTHEW",
"middle_name": "SHANE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60277222",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "WA",
"license": "DE60277222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.