Matthew Perry Tomala, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010774 Issued in WA

Practice address

207 SW 156TH St Ste 2
Burien, WA 98166-2561

Phone

(206) 402-5147

Fax

(206) 402-5172

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Matthew Tomala DDS MSD PLLC

  • Endodontics
  • Burien, WA
  • NPI 1720311905
  NPD (past) Authorized official

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1669463162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SW 156TH ST STE 2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662561",
            "telephone_number": "206-402-5147",
            "fax_number": "206-402-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SW 156TH ST STE 2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662561",
            "telephone_number": "206-402-5147",
            "fax_number": "206-402-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMALA",
        "first_name": "MATTHEW",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010774",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Price Todd III, MA61026929
• Jackie C Toh, MD
• Mark Tolas
• Molly Tollefson
• Dafne D Tolman, DC
• Eric Bradley Tomich, D.O.
• Korie Alaia Tomlinson, MSW, MHP
• Breanne Marie Toney, CCC-SLP
• Toni Calvo Waldbaum DDS PS
• Jessica Torres

• Dentist in Burien, WA
• Providers in Burien, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.