Stephen Eric Stanley, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DD3637 Issued in NM

Practice address

74 Lono Ave Ste 210
Kahului, HI 96732-1626

Phone

(503) 816-5950

NPI assigned

Jan 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stanley Dental LLC

  dba Island Smiles Dental Care

  • General Practice Dentistry
  • Kahului, HI
  • NPI 1821629312
  NPD
• North Coors Dental

  • Dentist
  • Albuquerque, NM
  • NPI 1215952189
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1013287077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 LONO AVE STE 210",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321626",
            "telephone_number": "503-816-5950",
            "fax_number": "505-839-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 LONO AVE STE 210",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321626",
            "telephone_number": "503-816-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "STEPHEN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wailana Spangler
• Debbie Spates, MFT
• Beth Marie Spence, CCC-SLP
• Maurice Andrew Sprenger, MD
• Stanley Dental LLC (Island Smiles Dental Care)
• State of Hawaii Department of Health (Clinic Kahului)
• Allison Celeste Steed, RBT
• Molly Stiens, DC
• Still Therapy LLC
• Carley Jeanette Stone, CF-SLP

• Dentist in Kahului, HI
• Providers in Kahului, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.