Individual provider Active NPI

Stephanie Stinson, DMD

  • Dentist
  • Tonasket, WA
National Provider Identifier
1417144866
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00011120 Issued in WA
Practice address
19 - 4TH Street W
Tonasket, WA 98855-0511
Phone
(509) 486-8001
Fax
(509) 486-8002
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00011120 WA Primary

Addresses

Primary practice location

19 - 4TH Street W
Tonasket, WA 98855-0511

Mailing address

PO Box 511
19 - 4TH Street W
Tonasket, WA 98855-0511
Phone (509) 486-8001

Other identifiers 2

IdentifierTypeStateIssuer
1871854810OtherORGANIZATION NPI# DR STEPHANIE STINSON PLLC
DE00011120OtherWAWA STATE LICENSE NUMBER

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
DE00011120WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Stephanie Stinson PLLC Past 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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1417144866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "address_2": "19 - 4TH STREET W",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988550511",
            "telephone_number": "509-486-8001",
            "fax_number": "509-486-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 - 4TH STREET W",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988550511",
            "telephone_number": "509-486-8001",
            "fax_number": "509-486-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "STEPHANIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00011120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI# DR STEPHANIE STINSON PLLC",
            "identifier": "1871854810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE NUMBER",
            "identifier": "DE00011120",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonasket, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.