Stephen G. Sadler, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60431527 Issued in WA

Practice address

17130 Avondale Way NE Ste 118
Redmond, WA 98052-4455

Phone

(425) 869-1830

NPI assigned

Jul 27, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Sadler Dental PLLC

  • Pediatric Dentistry
  • Redmond, WA
  • NPI 1821652546
  NPD Authorized official
• David R. Atherton DDS PLLC

  • Pediatric Dentistry
  • Redmond, WA
  • NPI 1316239098
  NPD (past)
• PSPD - Marysville, PLLC

  • Pediatric Dentistry
  • Marysville, WA
  • NPI 1336427897
  NPD (past)
• PSPD - Stanwood, PLLC

  • Pediatric Dentistry
  • Stanwood, WA
  • NPI 1194188870
  NPD (past)

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1306124193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17130 AVONDALE WAY NE STE 118",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524455",
            "telephone_number": "425-869-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 AVONDALE WAY NE STE 118",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524455",
            "telephone_number": "425-869-1830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 State Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982704284",
            "country_code": "US",
            "telephone_number": "360-659-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADLER",
        "first_name": "STEPHEN",
        "middle_name": "G.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60431527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LD0070",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Mary Ryan, M.S.LMHC, LMFT, LCSW
• Thalia Marie Ryer, MA, LMFTA
• Janell Saasen-Chinery, DPH., RPH
• Clarice E Sackett, M.D.
• Sadler Dental PLLC
• Maryam Sadrzadeh, MS SLP
• Safegard Services Inc.
• Luciana Moreira Lima Safioti, DDS, MSD
• Sharyn Saftler, RD
• David M Sage

• Pediatric Dentistry in Redmond, WA
• Providers in Redmond, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.