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DR. MATTHEW DAVID NORDLIE DMD
NPI 1174178636
Dentist - General Practice in Rathdrum, ID

Active since August 01, 2019
3170 W MACK LN, RATHDRUM, ID 83858(253) 249-3581 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, Aug 1, 2019 (2 updates tracked since 2019).

About Dr. Matthew David Nordlie Dmd NPPES

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

DR. MATTHEW DAVID NORDLIE DMD (NPI 1174178636) is an individual general practice provider in Rathdrum, Idaho, licensed in Washington (DE60966868) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1174178636
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW DAVID NORDLIECredential: DMD
Location Address3170 W MACK LNRathdrum, ID 83858-4500
Mailing Address21421 Snag Island Dr ELake Tapps, WA 98391-8709
Phone(253) 249-3581
Sole ProprietorYes
Enumeration DateAugust 1, 2019
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1174178636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE60966868
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.
3170 W MACK LN, Rathdrum, ID 83858
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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 Matthew Nordlie's NPI number?

The NPI number for Matthew Nordlie is 1174178636. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Matthew Nordlie located?

Matthew Nordlie practices at 3170 W Mack Ln, Rathdrum, ID 83858. The listed phone number is (253) 249-3581.

What is Matthew Nordlie's specialty?

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

What insurance does Matthew Nordlie accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Matthew Nordlie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Nordlie was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.