Organization Active NPI

Cascade Kids Dentist

  • Pediatric Dentistry
  • Marysville, WA
National Provider Identifier
1700778644
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CASCADE KIDS DENTIST
Practice address
1246 State Ave Ste C
Marysville, WA 98270-3694
Phone
(360) 584-8833
Fax
(360) 618-0181
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Matthew Yeh
Title
Member
Phone
(360) 441-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1246 State Ave Ste C
Marysville, WA 98270-3694

Mailing address

2141 Washington St
Ferndale, WA 98248-9183
Phone (360) 441-3999

National Provider Directory

National Provider Directory

Locations

1246 State Ave
Ste C
Marysville, WA 98270
Phone (360) 209-8744

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1700778644",
    "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": "360-441-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 STATE AVE STE C",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703694",
            "telephone_number": "360-584-8833",
            "fax_number": "360-618-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE KIDS DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-441-3999"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.