Liza Mathias DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LIZA MATHIAS DDS PLLC

Practice address

642 Harrison St
Port Townsend, WA 98368-6518

Phone

(360) 385-4700

Fax

(360) 379-9730

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Mary F Toews

Title

Office Manager

Phone

(360) 385-4700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Uptown Dental Clinic Doing business as

Locations

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1649754284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 HARRISON ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686518",
            "telephone_number": "360-385-4700",
            "fax_number": "360-379-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 HARRISON ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686518",
            "telephone_number": "360-385-4700",
            "fax_number": "360-379-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZA MATHIAS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "TOEWS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-385-4700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVEN J. SCHARF, DDS",
            "identifier": "1518015163",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADRIAN R. OLSON, DDS",
            "identifier": "1306368170",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uptown Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darlene Elizabeth Lewis, LMT, MLD-C
• Macrina Shirley May Lewis, RN
• Isabel Liendo Lira, DDS
• Linda Faye Little, PHD PSYCHOLOGIST
• Sheana Livingstone
• Harriet Louise Logg, LMP
• Loomis Restorative Physical Therapy, Inc.
• Stephanie J Loomis, PT
• Kathy Luch, LM, CPM
• Caitlin L.R. Lund, DO

• General Practice Dentistry in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.