Active NPI
Stuart H Rich, DDS PS
- Dentist
- Auburn, WA
National Provider Identifier
1467444703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 07570
- Practice address
- 4798 Auburn Way N
Suite 106
Auburn, WA 98002-1501 - Phone
- (253) 236-5240
- Fax
- (866) 861-6286
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 07570 | WA | Primary |
Addresses
Primary practice location
4798 Auburn Way N
Suite 106
Auburn, WA 98002-1501
Mailing address
1417 199TH Ave E
Lake Tapps, WA 98391-9384
Phone (253) 236-5240
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07570 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth G. Padilla DMD, 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.
-
- General Practice Dentistry
- Auburn, WA
- NPI 1447198437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1467444703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 199TH AVE E",
"city": "LAKE TAPPS",
"state": "WA",
"postal_code": "983919384",
"telephone_number": "253-236-5240",
"fax_number": "866-861-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4798 AUBURN WAY N",
"address_2": "SUITE 106",
"city": "AUBURN",
"state": "WA",
"postal_code": "980021501",
"telephone_number": "253-236-5240",
"fax_number": "866-861-6286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "STUART",
"middle_name": "H",
"credential": "DDS PS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "07570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.