Stephen a. Rodgers, DMD, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE 60149420 Issued in WA

Legal business name

STEPHEN A. RODGERS, DMD, PLLC

Practice address

13515 NE 175TH St Ste C
Woodinville, WA 98072-8566

Phone

(425) 483-9000

Fax

(425) 481-6089

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A. Rodgers, DMDNPI 1649558446

Title

Managing Member

Phone

(425) 483-9000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Andrew Rodgers, DMD

  • Dentist
  • Woodinville, WA
  • NPI 1649558446
  NPD (past) Authorized official

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1043573603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 NE 175TH ST STE C",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728566",
            "telephone_number": "425-483-9000",
            "fax_number": "425-481-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 NE 175TH ST STE C",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728566",
            "telephone_number": "425-483-9000",
            "fax_number": "425-481-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. RODGERS, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "425-483-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE 60149420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Sopka, LMHCA
• Sound Family Center, LLC (Kaeli A. Clark)
• Feliz Shirlei Spearman-Altheimer
• Christina Spears-Bartunek, MS, LMHC
• Stat Medical, Inc
• Oleksandr Stetsyuk, LMT
• Virginia Teresa Stevens, M.D.
• Walter C Stevens IV, LMHCA
• Samm Celeste Stewart
• Allyson K Stivers

• Dental Clinic/Center in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.