Active NPI
Matthew R Williams
- Dentist
- Marysville, WA
National Provider Identifier
1932339702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60217899
- Practice address
- 1603 Grove St
Marysville, WA 98270-4301 - Phone
- (360) 651-1882
- Fax
- (360) 651-1889
- NPI assigned
- Jul 15, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60217899 | WA | Primary |
Addresses
Primary practice location
1603 Grove St
Marysville, WA 98270-4301
Mailing address
1603 Grove St
Marysville, WA 98270-4301
Phone (360) 651-1882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60217899 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hsue,Park&Ghorbanian PLLC | Past | Accepting new patients | |
| Park and Ghorbanian DDS, PLLC #2 | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Marysville, WA
- NPI 1235442583
-
- General Practice Dentistry
- Marysville, WA
- NPI 1730311168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1932339702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 GROVE ST",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704301",
"telephone_number": "360-651-1882",
"fax_number": "360-651-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 GROVE ST",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704301",
"telephone_number": "360-651-1882",
"fax_number": "360-651-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MATTHEW",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-15",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60217899",
"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 Apr 8, 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.