Scott W.W. Steedman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009090 Issued in WA

Practice address

515 State Route 9 NE Ste 101
Lake Stevens, WA 98258-8523

Phone

(425) 334-4087

NPI assigned

Feb 13, 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Scott W.W. Steedman, DDS, MPH, PS

  • Dental Clinic/Center
  • Lake Stevens, WA
  • NPI 1417805466
  NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871635755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HWY 9 NE STE 101",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "98258",
            "telephone_number": "425-334-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STATE ROUTE 9 NE STE 101",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588523",
            "telephone_number": "425-334-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEDMAN",
        "first_name": "SCOTT",
        "middle_name": "W.W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Lake Family Dentistry
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• Mari Springberry, PT
• Rayme Rogge Springer, OTR/L
• Twila St. George, LMT
• Nancy D Steele, PT
• Theresa Steele, LMT, CMT
• Laura Stoller
• Katerina Stursova-Wolff, M.D.
• Summit Rehabilitation PLLC (Summit Rehabilitation)

• Dentist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Dentist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.