Stacy Kanda, DDS
NPI 1063495174 · General Practice Dentistry · Federal Way, WA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy Kanda, DDS is a General Practice Dentistry provider in Federal Way, WA (NPI 1063495174).
Provider details
- NPI number
- 1063495174
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE00005273 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2007-07-09
Frequently asked questions
- What is Stacy Kanda's NPI number?
- Stacy Kanda's National Provider Identifier (NPI) is 1063495174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Kanda's specialty?
- Stacy Kanda is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Stacy Kanda located?
- Stacy Kanda's practice location on file with NPPES is 2335 Sw 320th St, Federal Way, WA 98023-2569.
- What is Stacy Kanda's phone number?
- The practice phone number listed in the NPPES registry for Stacy Kanda is (253) 661-2222.
- Does Stacy Kanda accept Medicare?
- Stacy Kanda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacy Kanda's NPI active?
- Yes — Stacy Kanda's NPI (1063495174) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.