Stacey Marie McDonald, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60764117 Issued in WA

Practice address

330 King St Ste 8
Wenatchee, WA 98801-2857

Phone

(509) 293-7109

Fax

(509) 885-9910

NPI assigned

Jun 18, 2017

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DentistAlso: Sleep Medicine

Education

Midwestern University College of Dental Medicine, Glendale, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Dr SM McDonald DMD PLLC

  dba Cascade TMJ and Airway

  • General Practice Dentistry
  • Wenatchee, WA
  • NPI 1194692228
  Medicare reassignment NPD Authorized official
• Lansing, McDonald DMD PLLC

  dba Cascade Advanced Dentistry

  • Dentist
  • Wenatchee, WA
  • NPI 1285424077
  NPD Authorized official

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1184154619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KING ST STE 8",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012857",
            "telephone_number": "509-293-7109",
            "fax_number": "509-885-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KING ST STE 8",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012857",
            "telephone_number": "509-293-7109",
            "fax_number": "509-885-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "DE60764117",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60764117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellee Erin McCormick
• Zoe McCormick, REGISTERED NURSE
• Chasity Marie McCrum
• Laura McCullough
• Brett R McDonald, LMHC
• Tyler McDonald, DDS
• Gregory R McDonough, PA-C
• Paige Elizabeth McDonough, DDS
• Tiffany McEachern, RN
• Sandra L McElearney, LCSW

• Dentist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.