Active NPI
Cascade Kids Dentist
- Pediatric Dentistry
- Marysville, WA
National Provider Identifier
1700778644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.