MATHEW DICKSON DO
NPI 1093402794
Student in an Organized Health Care Education/Training Program in Puyallup, WA

Active since April 21, 2023PECOS Enrolled
1322 3RD ST SE STE 240, PUYALLUP, WA 98372(253) 697-1420 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mathew Dickson Do NPPES

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

MATHEW DICKSON DO (NPI 1093402794) is an individual student in an organized health care education/training program in Puyallup, Washington and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093402794
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATHEW DICKSONCredential: DO
Location Address1322 3RD ST SE STE 240Puyallup, WA 98372-3771
Mailing Address1322 3rd St Se Ste 240Puyallup, WA 98372-3771 · (253) 697-1420
Sole ProprietorNo
Enumeration DateApril 21, 2023
NPPES CertifiedApril 21, 2023
NPI 1093402794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1322 3RD ST SE STE 240, Puyallup, WA 98372

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mathew Dickson Do 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.

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.

Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Family Medicine
1322 3RD ST SE STE 240, MS 1322-2-EFM
PUYALLUP, WA 98372
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372

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 Mathew Dickson's NPI number?

The NPI number for Mathew Dickson is 1093402794. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Mathew Dickson located?

Mathew Dickson practices at 1322 3rd St SE Ste 240, Puyallup, WA 98372. The listed phone number is (253) 697-1420.

What is Mathew Dickson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mathew Dickson enrolled in Medicare?

Yes. Mathew Dickson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mathew Dickson was last updated on April 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.