Individual provider Active NPI

Stephen Patrick Porter, D.M.D.

  • General Practice Dentistry
  • Port Ludlow, WA
National Provider Identifier
1154323202
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8344 Issued in WA
Practice address
9522 Oak Bay Rd Ste 400
Port Ludlow, WA 98365-8741
Phone
(360) 437-9392
Fax
(360) 437-9096
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 8344 WA Primary

Addresses

Primary practice location

9522 Oak Bay Rd Ste 400
Port Ludlow, WA 98365-8741

Mailing address

9522 Oak Bay Rd Ste 400
Port Ludlow, WA 98365-8741
Phone (360) 437-9392

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
I20150414000968 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426376955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8344WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen P Porter, DMD, PS Past Accepting new patients
Stephen P Porter DMD PS Past Accepting new patients

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1154323202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 OAK BAY RD STE 400",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983658741",
            "telephone_number": "360-437-9392",
            "fax_number": "360-437-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 OAK BAY RD STE 400",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983658741",
            "telephone_number": "360-437-9392",
            "fax_number": "360-437-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "STEPHEN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Ludlow, WA

Sources for this page

Verify at the official NPI Registry.