Anit Merry Mathew

Primary specialty

DentistTaxonomy code 122300000X

License

DE60573228 Issued in WA

Practice address

14410 SE Petrovitsky Rd
#113
Renton, WA 98058

Phone

(626) 253-1734

NPI assigned

Jul 20, 2012

Last updated

May 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1902151491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 SE PETROVITSKY RD",
            "address_2": "#113",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98058",
            "telephone_number": "626-253-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 SE PETROVITSKY RD",
            "address_2": "#113",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98058",
            "telephone_number": "626-253-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ANIT",
        "middle_name": "MERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60573228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Ann Mason, COTA
• Zelda Mason, RN
• Massage for World Peace
• Nadien Massoud
• Laura Emma Matheson
• Bridgitte Camelia Mathiasen, LMHC, MSCC, BS
• Kara Lee Mathwich
• Meredith Elise Matsen, PHARMD
• Sharine Koyar Entice Matsunanga, BSN RN
• Shane-Ann Suehiro Matsunobu, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.