DR. LIBERTY J MATAIA DDS
NPI 1013229541
Dentist in Yakima, WA

Q: What is Liberty Mataia's NPI number?

The NPI number for Liberty Mataia is 1013229541. It was assigned to this individual provider in the NPPES registry on July 13, 2010. The provider is also known as Dr. Liberty Franklin Dds.

Q: What is Liberty Mataia's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Liberty Mataia was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2010PECOS Enrolled

602 E NOB HILL BLVD, YAKIMA, WA 98901(509) 248-3334(509) 453-6144 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, Jul 12, 2016 (2 updates tracked since 2016).

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About Dr. Liberty J Mataia Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LIBERTY J MATAIA DDS (NPI 1013229541) is an individual dentist in Yakima, Washington, licensed in Washington (DE60156043) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013229541

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. LIBERTY J MATAIACredential: DDS

Location Address602 E NOB HILL BLVDYakima, WA 98901-3534

Mailing Address601 N Keys RdYakima, WA 98901-1172 · (509) 865-2395

Phone(509) 248-3334

Fax(509) 453-6144

Sole ProprietorNo

Enumeration DateJuly 13, 2010

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1013229541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60156043

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License DE60156043 (WA)

602 E NOB HILL BLVD, Yakima, WA 98901

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Other Names 1

Former Name (1)Dr. Liberty Franklin Dds

Other Identifiers 1

Medicaid1013229541WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Liberty J Mataia Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER WILLIAMS

Physician Assistant