Active NPI
Southcenter Children's Dentistry
- Pediatric Dentistry
- Tukwila, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SOUTHCENTER CHILDREN'S DENTISTRY
- Practice address
- 411 Strander Blvd Ste 303
Tukwila, WA 98188-2924 - Phone
- (206) 575-1130
- Fax
- (206) 575-1133
- NPI assigned
- May 21, 2019
- Last updated
- May 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Yeh, DDS
- Title
- Member
- Phone
- (206) 575-1130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
411 Strander Blvd Ste 303
Tukwila, WA 98188-2924
Mailing address
2141 Washington St
Ferndale, WA 98248-9183
Phone (360) 676-9222
Other names 2
- Southcenter Childrens Dentistry
- Southcenter Kids Dentistry
National Provider Directory
National Provider DirectoryLocations
411 Strander Blvd
Ste 303
Tukwila, WA 98188
Phone (206) 575-1130
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ferndale, WA
- NPI 1720099914
-
- Pediatric Dentistry
- Issaquah, WA
- NPI 1528476108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746662400000",
"number": "1639736119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 WASHINGTON ST",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982489183",
"telephone_number": "360-676-9222",
"fax_number": "360-676-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 STRANDER BLVD STE 303",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882924",
"telephone_number": "206-575-1130",
"fax_number": "206-575-1133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHCENTER CHILDREN'S DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-21",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A",
"authorized_official_last_name": "YEH",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "206-575-1130",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southcenter Childrens Dentistry",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Southcenter Kids Dentistry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tukwila, WA
- Rebecca Sosnovske
- Sound
- Sound Pain Alliance (Tukwila Ambulatory Surgery Center)
- Sound Pain Alliance (Puget Sound Pain Clinic)
- South Center Pediatric Dentistry and Orthodontics LLC (South Center Pediatric Dentistry and Orthodontic)
- Southcenter Dental LLC
- Southcenter Eye Care Inc
- Taylor Spears
- Brian Spencer
- Rebecca Terrell Spigel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.