Individual provider Active NPI

Matthew Shane Epstein, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Seattle, WA
National Provider Identifier
1417269200
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DE60277222 Issued in WA
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

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DE 60277222WAMDDentist
DE60277222WAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Epstein PLLC Current Accepting new patients
Green Lake Oral & Facial Surgery Dentist CurrentSince Mar 13, 2022 Accepting new patients
Jawnt Oral Surgery PastSince Mar 20, 2022 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.

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

Verify at the official NPI Registry.