NPIMap

Organization Active NPI

Matthew Eric Carlson, DDS, PLLC

Doing business as Mount Baker Root Canal Specialists

  • Endodontics
  • Bellingham, WA
National Provider Identifier
1538865696
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MATTHEW ERIC CARLSON, DDS, PLLC
Doing business as
Mount Baker Root Canal Specialists
Practice address
1310 Broadway Ste 1B
Bellingham, WA 98225-2953
Phone
(360) 734-4777
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1310 Broadway Ste 1B
Bellingham, WA 98225-2953

Mailing address

5859 Crystal Springs LN
Bellingham, WA 98226-7497
Phone (360) 922-4460

Other names 1

  • Mount Baker Root Canal Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1310 Broadway
Ste 1B
Bellingham, WA 98225
Phone (360) 734-4777

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1538865696",
    "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": "1310 BROADWAY STE 1B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252953",
            "telephone_number": "360-734-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW ERIC CARLSON, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Baker Root Canal Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.