Individual provider Active NPI

Stuart H Rich, DDS PS

  • Dentist
  • Auburn, WA
National Provider Identifier
1467444703
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07570 Issued in WA
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

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
07570WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.