Jennifer Stinde, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE60464622 Issued in WA

Practice address

1732 214TH St SE
Bothell, WA 98021-7632

Phone

(206) 859-8753

NPI assigned

Jul 4, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jennifer Mao Stinde DDS PLLC

  dba Crystal Springs Dental

  • Dental Clinic/Center
  • Bothell, WA
  • NPI 1942737085
  NPD Authorized official

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427464957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 214TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217632",
            "telephone_number": "206-859-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 214TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217632",
            "telephone_number": "206-859-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINDE",
        "first_name": "JENNIFER",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60464622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Philip Stevens
• Kristin E. Stevens, LMP
• Elizabeth Stewart-Finerty, MSW
• Jimmie Stewart, MD
• Keely Nicole Stewart, LMP
• Allie Stites
• Russell Leif Stohl
• Hilary Storey, CD(DONA)
• Stacy Michelle Story, MSW, LCSW, LICSW
• Molly Stoulil-Clark

• Dentist in Bothell, WA
• Providers in Bothell, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.