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DR. STACY REED KANDA DDS
NPI 1063495174
Dentist - General Practice in Federal Way, WA

Active since November 22, 2005PECOS Enrolled
2335 SW 320TH ST, SUITE 1, FEDERAL WAY, WA 98023(253) 661-2222(253) 661-1544 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stacy Reed Kanda Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY REED KANDA DDS (NPI 1063495174) is an individual general practice provider in Federal Way, Washington, licensed in Washington (DE00005273) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063495174
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STACY REED KANDACredential: DDS
Location Address2335 SW 320TH ST, SUITE 1Federal Way, WA 98023-2569
Mailing Address2335 Sw 320th St, Suite 1Federal Way, WA 98023-2569 · (253) 661-2222 · Fax (253) 661-1544
Phone(253) 661-2222
Fax(253) 661-1544
Sole ProprietorYes
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1063495174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00005273
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2335 SW 320TH ST, Federal Way, WA 98023
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Other Identifiers 1

Medicaid5547500WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy Reed Kanda Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JON REID SWENSON I D.D.S.
Dentist (General Practice)
2335 SW 320TH ST, STE.2
FEDERAL WAY, WA 98023
King County (253) 838-9715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Kanda's NPI number?

The NPI number for Stacy Kanda is 1063495174. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Stacy Kanda located?

Stacy Kanda practices at 2335 SW 320th St Suite 1, Federal Way, WA 98023. The listed phone number is (253) 661-2222.

What is Stacy Kanda's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stacy Kanda enrolled in Medicare?

Yes. Stacy Kanda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Kanda was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.