Individual provider Active NPI

Michelle M Steinhubel, DDS

  • General Practice Dentistry
  • Everett, WA
National Provider Identifier
1942373295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8240 Issued in WA
Practice address
3802 Colby Ave
3Rd Floor
Everett, WA 98201-4940
Phone
(425) 252-9333
Fax
(425) 303-8593
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8240 WA Primary

Addresses

Primary practice location

3802 Colby Ave
3Rd Floor
Everett, WA 98201-4940

Mailing address

3802 Colby Ave
3Rd Floor
Everett, WA 98201-4940
Phone (425) 252-9333

Other identifiers 2

IdentifierTypeStateIssuer
1644389OtherWAUNITED CONCORDIA ID#
8240OtherWADENTAL LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709002817 WA Order and Referring Only - DentistPractitioner - Dentist 3577875129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8240WAMDGeneral Practice Dentistry

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942373295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 COLBY AVE",
            "address_2": "3RD FLOOR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014940",
            "telephone_number": "425-252-9333",
            "fax_number": "425-303-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 COLBY AVE",
            "address_2": "3RD FLOOR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014940",
            "telephone_number": "425-252-9333",
            "fax_number": "425-303-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINHUBEL",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID#",
            "identifier": "1644389",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE #",
            "identifier": "8240",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.