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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MARK MATTHEW MATSUMOTO D.D.S.
NPI 1053369975
Dentist - General Practice in Edina, MN

Active since May 04, 2006
5201 EDEN AVE, SUITE 120, EDINA, MN 55436(952) 746-0225(952) 746-0225 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Matthew Matsumoto D.d.s. NPPES

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

DR. MARK MATTHEW MATSUMOTO D.D.S. (NPI 1053369975) is an individual general practice provider in Edina, Minnesota, licensed in Minnesota (D8902) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1053369975
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK MATTHEW MATSUMOTOCredential: D.D.S.
Location Address5201 EDEN AVE, SUITE 120Edina, MN 55436-2316
Mailing Address5201 Eden Ave, Suite 120Edina, MN 55436-2316 · (952) 746-0225 · Fax (952) 746-0225
Phone(952) 746-0225
Fax(952) 746-0225
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1053369975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D8902
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5201 EDEN AVE, Edina, MN 55436
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Other Providers at the Same Location NPPES 16

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

DR. ALLYSON ADRIANNE SEGAR AUD
Technician, Other
5201 EDEN AVE, SUITE 130
EDINA, MN 55436
Hennepin County (952) 929-2060
TESSA HAGGSTROM DC
Chiropractor
5201 EDEN AVE
EDINA, MN 55436
Hennepin County (952) 920-9721
ERIN ELIZABETH MAHONEY RD
Dietitian, Registered
5201 EDEN AVE
EDINA, MN 55436
Hennepin County (781) 789-1125
MELANIE BELLEAU POPP CCC-A
Specialist
5201 EDEN AVE, SUITE 50
EDINA, MN 55436
Hennepin County (952) 929-2060
DOUGLAS MARK FINCHAM HIS
Specialist
5201 EDEN AVE, SUITE 130
EDINA, MN 55436
Hennepin County (952) 929-2068
DR. BRITTANY THERESE SHEA AU.D.
Audiologist
5201 EDEN AVE, SUITE 50
EDINA, MN 55436
Hennepin County (952) 929-2060
DR. LISA JENNIE BERKELEY AU.D.
Audiologist-Hearing Aid Fitter
5201 EDEN AVE
EDINA, MN 55436
Hennepin County (952) 929-2060
DR. JOLEEN KAY SAMSON D.C.
Chiropractor
5201 EDEN AVE, STE. 190
EDINA, MN 55436
Hennepin County (952) 920-9721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Matsumoto's NPI number?

The NPI number for Mark Matsumoto is 1053369975. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Mark Matsumoto located?

Mark Matsumoto practices at 5201 Eden Ave Suite 120, Edina, MN 55436. The listed phone number is (952) 746-0225.

What is Mark Matsumoto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark Matsumoto was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.