DAVID P MATHEWS DDS PS (NPI# 1265567184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265567184 |
| Entity Type | Organization |
| Organization Name | DAVID P MATHEWS DDS PS |
| Practice Address |
4050 S 19th St Ste 101 Tacoma WA 98405 |
| Practice Telephone | 2537526622 |
| Practice Fax Number | 2537565875 |
| Mailing Telephone | 2537526622 |
| Mailing Fax Number | 2537565875 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID P MATHEWS (DENTIST PRESIDENT) |
| Authorized Official Telephone | 2537526622 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4439 | WA | Dental Providers |
| Street Address |
4050 S 19TH ST STE 101 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043430580 | Ronald E Harmon | Dentist | 2302 S Union Ave Ste C22, Tacoma, WA 98405-1334 | 2007-04-26 |
| 1659492718 | Minou Karbakhsch | Dentist | 2302 So. Union Ave., Suite C-22, Tacoma, WA 98405 | 2007-04-03 |
| 1801916515 | Roy Stuart Schwartz | Dentist | 1901 S Union Ave Ste B4010, Tacoma, WA 98405-1804 | 2007-03-29 |
| 1962853655 | Michitsuna Katafuchi | Dentist | 2302 S Union Ave Ste C27, Tacoma, WA 98405 | 2016-06-24 |
| 1316374788 | Arzu Korkmaz Bayir | Dentist | 4545 S Union Ave Ste 100, Tacoma, WA 98409-4532 | 2013-10-01 |
| 1265760474 | John Woongjoon Park | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2009-11-28 |
| 1053581546 | David P Mathews | Dentist | 4050 S 19th St, #101, Tacoma, WA 98405 | 2008-03-11 |
| 1053531772 | Steven D Bradway | Dentist | 2302 S Union Ave, C21, Tacoma, WA 98405-1300 | 2007-04-26 |
| 1528288008 | Ronald E. Harmon, D.d.s., P.s. | Dentist | 2302 S Union Ave Ste C22, Tacoma, WA 98405-1334 | 2007-04-26 |
| 1912039348 | Silvia La Rosa | Dentist | 1628 S Mildred St, Suite 210, Tacoma, WA 98465-1627 | 2007-03-12 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on DAVID P MATHEWS DDS PS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.