Individual provider Active NPI

Christopher Sterling Spain, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Shoreline, WA
National Provider Identifier
1861729063
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE60220488 Issued in WA
Practice address
19929 Ballinger Way NE Ste 201
Shoreline, WA 98155-8208
Phone
(206) 693-3123
Fax
(206) 453-3994
NPI assigned
Nov 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 57062 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE60220488 WA Primary

Addresses

Primary practice location

19929 Ballinger Way NE Ste 201
Shoreline, WA 98155-8208

Mailing address

19929 Ballinger Way NE Ste 201
Shoreline, WA 98155-8208
Phone (206) 693-3123

Other practice location 1

669 Woodland Square Loop SE
Lacey, WA 98503-1038
Phone (360) 359-4860

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
57062CAMDOrthodontics and Dentofacial Orthopedic Dentist
DE60220488WAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher S. Spain, DDS, PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

19929 Ballinger Way NE
Ste 201
Shoreline, WA 98155
Phone (206) 693-3123

Interoperability endpoints

  • Direct secure messaging: cspain452877@direct.multicare.org

Organizations & group practices 1

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1861729063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19929 BALLINGER WAY NE STE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981558208",
            "telephone_number": "206-693-3123",
            "fax_number": "206-453-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19929 BALLINGER WAY NE STE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981558208",
            "telephone_number": "206-693-3123",
            "fax_number": "206-453-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "669 Woodland Square Loop SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985031038",
            "country_code": "US",
            "telephone_number": "360-359-4860",
            "fax_number": "360-359-4861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "STERLING",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57062",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60220488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.