1. Home
  2. Directory
  3. Washington
  4. Bellevue
  5. Dentist
  6. NPI Profile

MIKA MATSUMOTO DDS
NPI 1891365433
Dentist in Bellevue, WA

Active since June 27, 2021
14655 BEL-RED ROAD, UNIT 101, BELLEVUE, WA 98007(425) 641-4111 Get Directions Write a Review

NPPES record last updated: June 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mika Matsumoto Dds NPPES

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

MIKA MATSUMOTO DDS (NPI 1891365433) is an individual dentist in Bellevue, Washington, licensed in Washington (DE61168232) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1891365433
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMIKA MATSUMOTOCredential: DDS
Location Address14655 BEL-RED ROAD, UNIT 101Bellevue, WA 98007
Mailing Address4547 8th Ave Ne Apt 509Seattle, WA 98105-6707 · (808) 292-5396
Phone(425) 641-4111
Sole ProprietorYes
Enumeration DateJune 27, 2021
NPPES CertifiedJune 27, 2021
✔ NPI 1891365433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE61168232
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.
14655 BEL-RED ROAD, Bellevue, WA 98007
Open in Google Maps ↗

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

BARRIANN BAREFOOT ANTHONY M.S., CCC-SLP
Speech-Language Pathologist
14655 BEL-RED ROAD, #105
BELLEVUE, WA 98007
King County (425) 614-0378

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 Mika Matsumoto's NPI number?

The NPI number for Mika Matsumoto is 1891365433. It was assigned to this individual provider in the NPPES registry on June 27, 2021.

Where is Mika Matsumoto located?

Mika Matsumoto practices at 14655 Bel-Red Road Unit 101, Bellevue, WA 98007. The listed phone number is (425) 641-4111.

What is Mika Matsumoto's specialty?

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

What insurance does Mika Matsumoto accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mika Matsumoto 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 Mika Matsumoto was last updated on June 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.