Individual provider Active NPI

Maya Drangsholt, DMD

  • Dentist
  • Bonney Lake, WA
National Provider Identifier
1578282067
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DENT.DE.61327761 Issued in WA
Practice address
18310 Highway 410
Bonney Lake, WA 98391
Phone
(253) 863-5188
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601519 MI
Dentist 122300000X DENT.DE.61327761 WA Primary

Addresses

Primary practice location

18310 Highway 410
Bonney Lake, WA 98391

Mailing address

9618 59TH Ave SW
Lakewood, WA 98499-2799
Phone (253) 584-2124

Other practice location 1

3702 Bridgeport Way W Ste A
University Place, WA 98466-4438
Phone (253) 582-2408

Other names 1

  • Maya Denslow Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901601519MIMDDentist
DENT.DE.61327761WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Dental Highpoint PLLC CurrentSince Aug 28, 2022 Accepting new patients
South Sound Family Dentistry Past Accepting new patients

Locations

285 W Western Ave
Ste 102
Muskegon, MI 49440
Phone (231) 930-3151

Organizations & group practices 2

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1578282067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 59TH AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992799",
            "telephone_number": "253-584-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 HIGHWAY 410",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "98391",
            "telephone_number": "253-863-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3702 Bridgeport Way W Ste A",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664438",
            "country_code": "US",
            "telephone_number": "253-582-2408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRANGSHOLT",
        "first_name": "MAYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601519",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.61327761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "DENSLOW",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.