Stephanie Su DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

STEPHANIE SU DDS PLLC

Doing business as

Redmond Kids Dentistry

Practice address

16650 NE 79TH St Ste 100
Redmond, WA 98052-4442

Phone

(425) 558-4562

NPI assigned

Nov 17, 2021

Last updated

Nov 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Hatfield

Title

Practice Manager

Phone

(425) 558-4562

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Redmond Kids Dentistry Doing business as

Locations

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1427715184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 NE 79TH ST STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524442",
            "telephone_number": "425-558-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 NE 79TH ST STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524442",
            "telephone_number": "425-558-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE SU DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "425-558-4562"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1134204191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Stallings, MSW, LSWAIC
• Kathleen Ann Steeh, ACUPUNCTURIST
• Lindsey Elizabeth Steel, BA, AAC
• Sarah Steilen, LMP
• Doris Steinkraus, LMT
• Bret N Stern, CP 60929929
• Rachel K Stern, DPT, PT
• Mark Stetson, LMT, CSCS
• Keturah Stevens
• Heather Mariette Stevenson, PT

• Pediatric Dentistry in Redmond, WA
• Providers in Redmond, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.