Active NPI
Matthew E Carlson, DDS
- Endodontics
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE00011023
- Practice address
- 130 S 15TH St Ste 101
North Sound Endodontcs
Mount Vernon, WA 98274-4569 - Phone
- (360) 428-4393
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DE00011023 | WA | Primary |
Addresses
Primary practice location
130 S 15TH St Ste 101
North Sound Endodontcs
Mount Vernon, WA 98274-4569
Mailing address
130 S 15TH St Ste 101
Mount Vernon, WA 98274-4569
Phone (360) 428-4393
Other practice location 1
1310 Broadway Ste 1B
Bellingham, WA 98225-2953
Phone (360) 734-4777
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 |
|---|---|---|---|
| DE00011023 | WA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew E Carlson DDS PLLC | Endodontics | Current | Accepting new patients |
| Matthew Eric Carlson, DDS, PLLC | Endodontics | Current | Accepting new patients |
Locations
1310 Broadway
Ste 1B
Bellingham, WA 98225
Phone (360) 734-4777
130 S 15th St
Ste 101
Mount Vernon, WA 98274
Phone (360) 428-4393
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.
-
- Endodontics
- Mount Vernon, WA
- NPI 1508686981
-
dba Mount Baker Root Canal Specialists
- Endodontics
- Bellingham, WA
- NPI 1538865696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1972798015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S 15TH ST STE 101",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744569",
"telephone_number": "360-428-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S 15TH ST STE 101",
"address_2": "NORTH SOUND ENDODONTCS",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744569",
"telephone_number": "360-428-4393"
}
],
"practiceLocations": [
{
"address_1": "1310 Broadway Ste 1B",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982252953",
"country_code": "US",
"telephone_number": "360-734-4777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSON",
"first_name": "MATTHEW",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE00011023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.