STACEY KUTSCH, D.D.S., M.S., PLLC
STACEY KUTSCH, D.D.S., M.S., PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629491766, based in Walla Walla, WA. The organization lists 2 taxonomy classifications, with Pediatric Dentistry recorded as primary.
Getting there
The practice address on file is 614 E ALDER ST SUITE 6, Walla Walla, WA 99362. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| DE00010428 | WA | Dental Clinic/Center |
| DE00010428 | WA | Pediatric Dentistry primary |
This provider holds licence DE00010428 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatric Dentistry covers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NUCC Health Care Provider Taxonomy, code 1223P0221X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center Dental | DE00010428 | WA | |
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | DE00010428 | WA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1629491766 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 25, 2014 |
| Last updated | Mar 7, 2023 |
| Status | Active |
| Practice address |
614 E ALDER ST SUITE 6 Walla Walla, WA 99362 (509) 522-0555 |
| Other names |
Walla Walla Pediatric Dentistry Former Legal Name |
| Other identifiers |
5050265
· Medicaid (WA) CS10000430 · Other (WA) DE00010428 · Other (WA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 4 | 9 | 1 | 7 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 8 | 9 | 2 | 7 | 3 |
Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.