Organization Active NPI

Matt Rafie DDS PS

Doing business as A to Z Dental

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1689027575
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00011101 Issued in WA
Legal business name
MATT RAFIE DDS PS
Doing business as
A to Z Dental
Practice address
12453 Bel Red Rd
#200
Bellevue, WA 98005-2544
Phone
(425) 449-8570
NPI assigned
Jul 15, 2016
Last updated
Jul 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Dr. Matt M Rafie, DDS
Title
President
Phone
(425) 449-8570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00011101 WA Primary

Addresses

Primary practice location

12453 Bel Red Rd
#200
Bellevue, WA 98005-2544

Mailing address

12453 Bel Red Rd
#200
Bellevue, WA 98005-2544
Phone (425) 449-8570

Other names 1

  • A to Z Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1689027575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12453 BEL RED RD",
            "address_2": "#200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052544",
            "telephone_number": "425-449-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12453 BEL RED RD",
            "address_2": "#200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052544",
            "telephone_number": "425-449-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT RAFIE DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "RAFIE",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-449-8570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00011101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A to Z Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.