Individual provider Active NPI

Paula Ann Stepp, DMD

  • Pediatric Dentistry
  • Kent, WA
National Provider Identifier
1407006752
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60754757 Issued in WA
Practice address
24909 104TH Ave SE Ste 200
Kent, WA 98030-2819
Phone
(253) 850-1234
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.027996 IL
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X DE60754757 WA Primary

Addresses

Primary practice location

24909 104TH Ave SE Ste 200
Kent, WA 98030-2819

Mailing address

1717 66TH St SE
Auburn, WA 98092-7704
Phone (618) 363-6496

Other practice location 1

22506 Marine View Dr. S Unit 101
Des Moines, WA 98198
Phone (206) 432-9958

Other identifiers 1

IdentifierTypeStateIssuer
2080021MedicaidWA

Other names 1

  • Paula Ann Schomaker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.027996ILMDGeneral Practice Dentistry
DE60754757WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paula Stepp PLLC Pediatric Dentistry CurrentSince Feb 27, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1407006752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 66TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980927704",
            "telephone_number": "618-363-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24909 104TH AVE SE STE 200",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302819",
            "telephone_number": "253-850-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22506 Marine View Dr. S Unit 101",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "98198",
            "country_code": "US",
            "telephone_number": "206-432-9958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPP",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027996",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60754757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080021",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "SCHOMAKER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.