Organization Active NPI

Jennifer Mao Stinde DDS PLLC

  • Dental Clinic/Center
  • Bothell, WA
National Provider Identifier
1942737085
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60464622 Issued in WA
Legal business name
JENNIFER MAO STINDE DDS PLLC
Doing business as
Crystal Springs Dental
Practice address
1732 214TH St SE
Bothell, WA 98021-7632
Phone
(425) 485-2942
Fax
(425) 398-5933
NPI assigned
May 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jennifer Stinde, D.D.S.NPI 1427464957
Title
Dentist
Phone
(206) 859-8753

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
Dental Clinic/Center 261QD0000X DE60464622 WA Primary

Addresses

Primary practice location

1732 214TH St SE
Bothell, WA 98021-7632

Mailing address

1732 214TH St SE
Bothell, WA 98021-7632
Phone (425) 485-2942

Other names 1

  • Crystal Springs Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1732 214th St SE
Bothell, WA 98021
Phone (206) 859-8753

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": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942737085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 214TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217632",
            "telephone_number": "425-485-2942",
            "fax_number": "425-398-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 214TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217632",
            "telephone_number": "425-485-2942",
            "fax_number": "425-398-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MAO STINDE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STINDE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-859-8753",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60464622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Springs Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.