Gretchen Stern, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

61030822 Issued in WA

Practice address

2743 California Ave SW Unit 200
Seattle, WA 98116-2495

Phone

(206) 519-5337

NPI assigned

Dec 16, 2020

Last updated

Apr 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kang DDS & Suzuki DMD Ms El PLLC

  dba Puget Sound Periodontics

  • Periodontics
  • Federal Way, WA
  • NPI 1942943501
  NPD (past)
• Kang DDS & Suzuki DMD Ms FW PLLC

  dba Puget Sound Periodontics

  • Periodontics
  • Federal Way, WA
  • NPI 1588301428
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1396331021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 62ND AVE SW UNIT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162705",
            "telephone_number": "510-316-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 CALIFORNIA AVE SW UNIT 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162495",
            "telephone_number": "206-519-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 S 320th St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035461",
            "country_code": "US",
            "telephone_number": "206-400-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "GRETCHEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "36929",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "61030822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Sterling, MS
• Andriene Sterlington, LICSW
• Julia Jasmine Sterman, OTR/L
• Zachary Stern-Buchbinder, MD
• Eric J Stern
• Michael E Stern
• Robin Lisa Stern, LICSW
• Shira Tamar Stern, RD
• Susan Amy Stern, MD
• Joel Miller Sternbach, M.D., M.B.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.