Organization Active NPI

Mukilteo Smiles, Stacey C. Sype, DDS, PLLC

  • Dentist
  • Mukilteo, WA
National Provider Identifier
1659505097
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010753 Issued in WA
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

Updated by the provider on May 13, 2009

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.NPI 1669695904
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.