Matthew E Carlson DDS PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

MATTHEW E CARLSON DDS PLLC

Practice address

130 S 15TH St Ste 101
Mount Vernon, WA 98274-4569

Phone

(360) 922-4460

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Carlson, DDSNPI 1972798015

Title

Owner

Phone

(360) 922-4460

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew E Carlson, DDS

  • Endodontics
  • Mount Vernon, WA
  • NPI 1972798015
  NPD Authorized official

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1508686981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 CRYSTAL SPRINGS LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267497",
            "telephone_number": "360-922-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 15TH ST STE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744569",
            "telephone_number": "360-922-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW E CARLSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-922-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce C Mathey, MD
• Susan Ruth Mathey, CDP
• Christopher Ryan Mathis, LMHC
• Abcde Matias
• Ron Matteo
• Holly Maupin
• Anne Maxwell, LMP
• Siri Mayo, ARNP
• Amir C Mazhari, MD
• Dorien Louise McAbee, DO

• Endodontics in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.