NPIMap

Organization Active NPI

Stefanie K Hamamoto DDS PLLC

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1497024079
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60172421 Issued in WA
Legal business name
STEFANIE K HAMAMOTO DDS PLLC
Doing business as
TLC Dental
Practice address
1323 Boren Ave Apt 213
Seattle, WA 98101-2527
Phone
(206) 351-5381
NPI assigned
Dec 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Stefanie K Hamamoto, DDS
Title
President
Phone
(206) 351-5381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60172421 WA Primary

Addresses

Primary practice location

1323 Boren Ave Apt 213
Seattle, WA 98101-2527

Mailing address

1323 Boren Ave Apt 213
Seattle, WA 98101-2527
Phone (206) 351-5381

Other names 1

  • TLC Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1497024079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 BOREN AVE APT 213",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012527",
            "telephone_number": "206-351-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 BOREN AVE APT 213",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012527",
            "telephone_number": "206-351-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFANIE K HAMAMOTO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "HAMAMOTO",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-351-5381",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60172421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.