NPIMap

Organization Active NPI

Stephen E. Smith DMD PLLC

Doing business as Yelm Dental

  • General Practice Dentistry
  • Yelm, WA
National Provider Identifier
1548568405
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00004942 Issued in WA
Legal business name
STEPHEN E. SMITH DMD PLLC
Doing business as
Yelm Dental
Practice address
718 Yelm Ave W Ste 3
Yelm, WA 98597-8764
Phone
(360) 458-5606
NPI assigned
Mar 2, 2011
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Stephen E Smith, DMDNPI 1275798746
Title
Owner
Phone
(360) 458-5606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00004942 WA Primary

Addresses

Primary practice location

718 Yelm Ave W Ste 3
Yelm, WA 98597-8764

Mailing address

PO Box 1090
Yelm, WA 98597-1090
Phone (360) 458-5606

Other names 1

  • Yelm Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stephen E Smith DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

718 Yelm Ave W
Ste 3
Yelm, WA 98597
Phone (360) 458-5606

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1548568405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985971090",
            "telephone_number": "360-458-5606",
            "fax_number": "360-458-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 YELM AVE W STE 3",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978764",
            "telephone_number": "360-458-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E. SMITH DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-458-5606",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00004942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yelm Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.