Individual provider Active NPI

Steven William Shiflett, D.M.D

  • General Practice Dentistry
  • Hoquiam, WA
National Provider Identifier
1467897108
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60373456 Issued in WA
Practice address
2005 Sumner Ave
Hoquiam, WA 98550-2702
Phone
(360) 538-0290
NPI assigned
May 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60373456 WA Primary

Addresses

Primary practice location

2005 Sumner Ave
Hoquiam, WA 98550-2702

Mailing address

2005 Sumner Ave
Hoquiam, WA 98550-2702
Phone (360) 538-0290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302002707 WA Order and Referring Only - DentistPractitioner - Dentist 6406152347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60373456WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shiflett Family Dentistry 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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1467897108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SUMNER AVE",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502702",
            "telephone_number": "360-538-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SUMNER AVE",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502702",
            "telephone_number": "360-538-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLETT",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60373456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoquiam, WA

Sources for this page

Verify at the official NPI Registry.