Luke St. Marie

Primary specialty

DentistTaxonomy code 122300000X

License

60576836 Issued in WA

Practice address

17900 Talbot Rd S
Ste #103
Renton, WA 98055-8212

Phone

(425) 271-1727

NPI assigned

Jul 7, 2015

Last updated

Dec 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Dental Group

  • General Practice Dentistry
  • Renton, WA
  • NPI 1881788479
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1518340686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10741 INTERLAKE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338907",
            "telephone_number": "425-271-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 TALBOT RD S",
            "address_2": "STE #103",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980558212",
            "telephone_number": "425-271-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. MARIE",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60576836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Spieker, MN, ARNP
• Russell L Spies, MD
• Harry Samuel Spitzer, MD
• Springbrook Urologic Associates, Inc
• Troy Alan St. Germain, LPN
• Stacey L. Hiles, M.D., PLLC
• Stand by You Therapy, PLLC
• Lucinda A Stangle, SLP
• William Stanley, MSW
• Jonathan H Staver, MD

• Dentist in Renton, WA
• Providers in Renton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.