Jeffrey Scott Stonebraker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010109 Issued in WA

Practice address

8350 164TH Ave NE Ste 100
Redmond, WA 98052-3813

Phone

(425) 883-1253

NPI assigned

May 7, 2007

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

Opted out of Medicare

Yes, effective Oct 13, 2020 through Oct 13, 2026

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• McLaughlin - Stonebraker PLLC

  • Dentist
  • Redmond, WA
  • NPI 1255701033
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649483876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 164TH AVE NE STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 164TH AVE NE STE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523813",
            "telephone_number": "425-883-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEBRAKER",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia O Stewart, LMHC
• Kathryn Stickney, MA, LMHC
• Dawnya Jean Still, LMP
• Anna Rose Stolarczuk, DPT
• Eliza Calen Raine Stone-Cribb, MSW
• Susan B Storck, M.D.
• Sheila Storrer
• Janice Marie Strand, NTP,CGP,CHT
• Cara Strodel, DPT
• Julia Meta Stroud, PH.D.

• General Practice Dentistry in Redmond, WA
• Providers in Redmond, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.