NPIMap

Organization Active NPI

Yelm Dental

  • Dentist
  • Yelm, WA
National Provider Identifier
1336694231
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60674424 Issued in WA
Legal business name
YELM DENTAL
Practice address
718 W Yelm Ave # 3
Yelm, WA 98597-8764
Phone
(360) 458-5606
NPI assigned
Aug 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Dr. Stephen E Smith, DMD
Title
Owner
Phone
(360) 458-5606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60674424 WA Primary

Addresses

Primary practice location

718 W Yelm Ave # 3
Yelm, WA 98597-8764

Mailing address

718 W Yelm Ave # 3
Yelm, WA 98597-8764
Phone (360) 458-5606

National Provider Directory

National Provider Directory
Tax ID family
Stephen E Smith DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

718 Yelm Ave W
#3
Yelm, WA 98597
Phone (360) 458-5606

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1336694231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W YELM AVE # 3",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978764",
            "telephone_number": "360-458-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W YELM AVE # 3",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978764",
            "telephone_number": "360-458-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-458-5606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60674424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.