Steven Douglas Smutka, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00005034 Issued in WA

Practice address

4500 Sand Point Way NE
Suite 208
Seattle, WA 98105-3925

Phone

(206) 525-4777

Fax

(206) 525-8677

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

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.

• Seattle Pediatric Dentists

  • Pediatric Dentistry
  • Seattle, WA
  • NPI 1487152518
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306957147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SAND POINT WAY NE SUITE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053925",
            "telephone_number": "206-525-4777",
            "fax_number": "206-525-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAND POINT WAY NE",
            "address_2": "SUITE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053925",
            "telephone_number": "206-525-4777",
            "fax_number": "206-525-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUTKA",
        "first_name": "STEVEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "439179",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Anna Smolinski, DO
• Stephanie Smolinski
• Elizabeth S Smoots, MD
• Sara Vanessa Smucker Barnwell, PH.D.
• Emiko Chunjing Smukler
• Brenda J Smyk, MA, LMHC
• Charity Noelle Smyth, LMHCA
• Cynthia M Smyth, MD
• Ashley Smythe
• Elizabeth Snapinn, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.