Active NPI
Mukilteo Smiles, Stacey C. Sype, DDS, PLLC
- Dentist
- Mukilteo, WA
National Provider Identifier
1659505097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00010753
- Legal business name
- MUKILTEO SMILES, STACEY C. SYPE, DDS, PLLC
- Practice address
- 4901 81St PL SW
Mukilteo, WA 98275-2619 - Phone
- (425) 438-2400
- Fax
- (425) 438-3833
- NPI assigned
- May 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stacey Carol Sype, D.D.S.
- Title
- Owner/Dentist
- Phone
- (425) 438-2400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00010753 | WA | Primary |
Addresses
Primary practice location
4901 81St PL SW
Mukilteo, WA 98275-2619
Mailing address
4901 81St PL SW
Mukilteo, WA 98275-2619
Phone (425) 438-2400
National Provider Directory
National Provider DirectoryLocations
4901 81st Pl SW
Mukilteo, WA 98275
Phone (425) 316-8484
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Mukilteo, WA
- NPI 1669695904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1659505097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 81ST PL SW",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982752619",
"telephone_number": "425-438-2400",
"fax_number": "425-438-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 81ST PL SW",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982752619",
"telephone_number": "425-438-2400",
"fax_number": "425-438-3833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUKILTEO SMILES, STACEY C. SYPE, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "SYPE",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "CAROL",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "425-438-2400",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "WA",
"license": "DE00010753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.