NPIMap

Organization Active NPI

Stephen P Porter, DMD, PS

Doing business as Port Ludlow Dentistry

  • Dentist
  • Port Ludlow, WA
National Provider Identifier
1598105538
Registry record updated Jul 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00008344 Issued in WA
Legal business name
STEPHEN P PORTER, DMD, PS
Doing business as
Port Ludlow Dentistry
Practice address
9522 Oak Bay Rd
Ste 400
Port Ludlow, WA 98365-9202
Phone
(360) 437-9392
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2013

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

Authorized official

Name
Stephen P Porter, DMDNPI 1154323202
Title
President/Dentist
Phone
(360) 437-9392

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 00008344 WA Primary

Addresses

Primary practice location

9522 Oak Bay Rd
Ste 400
Port Ludlow, WA 98365-9202

Mailing address

9522 Oak Bay Rd
Ste 400
Port Ludlow, WA 98365-9202
Phone (360) 437-9392

Other names 1

  • Port Ludlow Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9522 Oak Bay Rd
Ste 400
Port Ludlow, WA 98365
Phone (360) 437-9392

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372896000000",
    "number": "1598105538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 OAK BAY RD",
            "address_2": "STE 400",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659202",
            "telephone_number": "360-437-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 OAK BAY RD",
            "address_2": "STE 400",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659202",
            "telephone_number": "360-437-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P PORTER, DMD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-04",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "360-437-9392",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "00008344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Ludlow Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Ludlow, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.