Active NPI
Paula Ann Stepp, DMD
- Pediatric Dentistry
- Kent, WA
National Provider Identifier
1407006752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE60754757
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2080021 | Medicaid | WA |
Other names 1
- Paula Ann Schomaker
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.027996 | IL | MD | General Practice Dentistry |
| DE60754757 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paula Stepp PLLC | Pediatric Dentistry | Current | 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.
-
- Pediatric Dentistry
- Puyallup, WA
- NPI 1053067488
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.