Active NPI
Densey Matthew
- Pediatrics Physician
- Mill Creek, WA
National Provider Identifier
1942509724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD61344550
- Practice address
- 805 164TH Street SE
Suite 100
Mill Creek, WA 98012 - Phone
- (425) 354-4296
- Fax
- (425) 332-3495
- NPI assigned
- Mar 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-37283 | KS | |
| Pediatrics Physician | 208000000X | 34323 | OK | |
| Pediatrics Physician | 208000000X | MD61344550 | WA | Primary |
Addresses
Primary practice location
805 164TH Street SE
Suite 100
Mill Creek, WA 98012
Mailing address
805 164TH Street SE
Suite 100
Mill Creek, WA 98012
Phone (405) 271-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201100270A | Medicaid | KS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-37283 | KS | MD | Pediatrics Physician |
| MD61344550 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- dmatthew25888@ouhealth.direct-ci.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Sammamish, WA
- NPI 1699849331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1942509724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 164TH STREET SE",
"address_2": "SUITE 100",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "98012",
"telephone_number": "405-271-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 164TH STREET SE",
"address_2": "SUITE 100",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "98012",
"telephone_number": "425-354-4296",
"fax_number": "425-332-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEW",
"first_name": "DENSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-20",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-37283",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "34323",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD61344550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201100270A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.