Active NPI
Jennifer Mao Stinde DDS PLLC
- Dental Clinic/Center
- Bothell, WA
National Provider Identifier
1942737085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DE60464622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Stinde, D.D.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Bothell, WA
- NPI 1427464957
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.