Individual provider Active NPI

Matthew Wayne Rowley, DDS

  • Dentist
  • Kennewick, WA
National Provider Identifier
1487227203
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61195432 Issued in WA
Practice address
216 N Edison St
Kennewick, WA 99336-1956
Phone
(509) 737-0327
Fax
(509) 737-1360
NPI assigned
Jul 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61195432 WA Primary

Addresses

Primary practice location

216 N Edison St
Kennewick, WA 99336-1956

Mailing address

216 N Edison St
Kennewick, WA 99336-1956
Phone (509) 737-0327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE61195432WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Dental Sleep Therapy PLLC Dentist CurrentSince Jul 25, 2021 Accepting new patients
Csdental, PLLC PastSince Jul 25, 2021 Accepting new patients

Locations

216 N Edison St
Kennewick, WA 99336
Phone (509) 737-0327

Organizations & group practices 2

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1487227203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N EDISON ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361956",
            "telephone_number": "509-737-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N EDISON ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361956",
            "telephone_number": "509-737-0327",
            "fax_number": "509-737-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLEY",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61195432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.