Organization Active NPI

Mark Studeny, DDS, PLLC.

  • Dentist
  • Tukwila, WA
National Provider Identifier
1053970210
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARK STUDENY, DDS, PLLC.
Doing business as
Aesthetic Smiles
Practice address
411 Strander Blvd Ste 205
Tukwila, WA 98188-2959
Phone
(206) 430-5481
Fax
(206) 430-5481
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Mark Daniel Studeny, DDSNPI 1467426551
Title
Dentist
Phone
(206) 890-4598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

411 Strander Blvd Ste 205
Tukwila, WA 98188-2959

Mailing address

411 Strander Blvd Ste 205
Tukwila, WA 98188-2959
Phone (206) 430-5481

Other practice location 1

18230 E Valley Hwy Ste 168
Kent, WA 98032-1231
Phone (425) 656-9025

Other names 1

  • Aesthetic Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

411 Strander Blvd
Ste 205
Tukwila, WA 98188
Phone (206) 890-4598

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1053970210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD STE 205",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882959",
            "telephone_number": "206-430-5481",
            "fax_number": "206-430-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD STE 205",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882959",
            "telephone_number": "206-430-5481",
            "fax_number": "206-430-5481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18230 E Valley Hwy Ste 168",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980321231",
            "country_code": "US",
            "telephone_number": "425-656-9025",
            "fax_number": "425-656-7894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK STUDENY, DDS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "STUDENY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-890-4598",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.