Individual provider Active NPI

Ronald Schoepflin, DDS

  • General Practice Dentistry
  • Port Orchard, WA
National Provider Identifier
1144299272
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9164 Issued in WA
Practice address
6500 SE Mile Hill Dr
Port Orchard, WA 98366-8724
Phone
(360) 871-2959
Fax
(360) 871-6976
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9164 WA Primary

Addresses

Primary practice location

6500 SE Mile Hill Dr
Port Orchard, WA 98366-8724

Mailing address

2279 SE Bandera CT
Port Orchard, WA 98367-8544
Phone (360) 895-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150811004649 WA Order and Referring Only - DentistPractitioner - Dentist 3678579976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9164WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Schoepflin Dental Excellence Current Accepting new patients
Drew Malidore, D.D.S., P.L.L.C. Past Accepting new patients

Locations

6500 SE Mile Hill Dr
Port Orchard, WA 98366
Phone (360) 871-0788

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144299272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 SE BANDERA CT",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678544",
            "telephone_number": "360-895-6010",
            "fax_number": "360-895-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SE MILE HILL DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668724",
            "telephone_number": "360-871-2959",
            "fax_number": "360-871-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEPFLIN",
        "first_name": "RONALD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.