Active NPI
Stephanie Staley, DDS
- Dentist
- Spokane Valley, WA
National Provider Identifier
1386004141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61052144
- Practice address
- 13514 E 32ND Ave # a
Spokane Valley, WA 99216-6002 - Phone
- (425) 892-3456
- NPI assigned
- Mar 7, 2016
- Last updated
- Jun 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61052144 | WA | Primary |
| General Practice Dentistry | 1223G0001X | 6939 | OK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NM |
Addresses
Primary practice location
13514 E 32ND Ave # a
Spokane Valley, WA 99216-6002
Mailing address
5211 S Myrtle LN
Spokane, WA 99223-7861
Phone (425) 892-3456
Other practice location 1
Msc 06 3500
University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 925-4031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160729000419 | NM | Order and Referring Only - Dentist | 2567755408 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61052144 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1386004141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5211 S MYRTLE LN",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992237861",
"telephone_number": "425-892-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13514 E 32ND AVE # A",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992166002",
"telephone_number": "425-892-3456"
}
],
"practiceLocations": [
{
"address_1": "Msc 06 3500",
"address_2": "University of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-925-4031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STALEY",
"first_name": "STEPHANIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "61052144",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6939",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.