Kathleen A Stambaugh, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6800 Issued in WA

Practice address

120 E George Hopper Rd
Suite 215
Burlington, WA 98233-3125

Phone

(360) 757-7667

Fax

(360) 707-2114

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kathleen a Stambaugh, DDS PS

  • Dental Clinic/Center
  • Burlington, WA
  • NPI 1134674773
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003836586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E GEORGE HOPPER RD",
            "address_2": "SUITE 215",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333125",
            "telephone_number": "360-757-7667",
            "fax_number": "360-707-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E GEORGE HOPPER RD",
            "address_2": "SUITE 215",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333125",
            "telephone_number": "360-757-7667",
            "fax_number": "360-707-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBAUGH",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "6800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambrosia Snow
• Yolanda Solano
• Sound Pain Alliance
• Mercydina Beluan Speth, SUDPT, AAC
• Ann Larson Spink, PT
• Roger Stambaugh, DMD
• Eric R Stark, MD
• Jennifer R Starkenburg, MS, CCC-SLP
• Steve Merritt Counseling LLC
• Amy Stratman, LMP

• Periodontics in Burlington, WA
• Providers in Burlington, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.