Jeffrey J Matson DDS Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

6377 Issued in WA

Legal business name

JEFFREY J MATSON DDS INC

Practice address

1314 8TH St NE Ste 104
Auburn, WA 98002-4587

Phone

(253) 833-6120

Fax

(253) 833-1457

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey John Matson, DDS

Title

Dentist

Phone

(253) 833-6120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1477843266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 8TH ST NE STE 104",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024587",
            "telephone_number": "253-833-6120",
            "fax_number": "253-833-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 8TH ST NE STE 104",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024587",
            "telephone_number": "253-833-6120",
            "fax_number": "253-833-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J MATSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-833-6120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "6377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Auburn, WA
• Providers in Auburn, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.