Organization Active NPI

Stephen L. Kirkpatrick, DDS, PLLC

  • General Practice Dentistry
  • Olympia, WA
National Provider Identifier
1316095839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00005277 Issued in WA
Legal business name
STEPHEN L. KIRKPATRICK, DDS, PLLC
Practice address
2952 Limited LN NW Unit B
Olympia, WA 98502-4546
Phone
(360) 534-0053
Fax
(360) 534-0278
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Lee Kirkpatrick, D.D.S.NPI 1639505753
Title
Member of PLLC
Phone
(360) 534-0053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00005277 WA Primary

Addresses

Primary practice location

2952 Limited LN NW Unit B
Olympia, WA 98502-4546

Mailing address

2952 Limited LN NW Unit B
Olympia, WA 98502-4546
Phone (360) 534-0053

Other identifiers 1

IdentifierTypeStateIssuer
5017603MedicaidWA

National Provider Directory

National Provider Directory

Locations

2952 Limited Ln NW
Unit B
Olympia, WA 98502
Phone (360) 534-0053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316095839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 LIMITED LN NW UNIT B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024546",
            "telephone_number": "360-534-0053",
            "fax_number": "360-534-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 LIMITED LN NW UNIT B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024546",
            "telephone_number": "360-534-0053",
            "fax_number": "360-534-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L. KIRKPATRICK, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER OF PLLC",
        "authorized_official_telephone_number": "360-534-0053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5017603",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.