Jennifer Stanzione, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

108879 Issued in CA

Practice address

20615 Commerce Way
Burney, CA 96013-4380

Phone

(530) 999-9031

Fax

(530) 335-5558

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJGHBA/Endpoint/IJGHBA

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

• Mosaic Health, Inc.

  dba Rushville Health Center

  • Federally Qualified Health Center (FQHC)
  • Rushville, NY
  • NPI 1912225236
  NPD (past)

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1023794310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20615 COMMERCE WAY",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134380",
            "telephone_number": "530-999-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20615 COMMERCE WAY",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134380",
            "telephone_number": "530-999-9031",
            "fax_number": "530-335-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "554-850 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bieber",
            "state": "CA",
            "postal_code": "960098000",
            "country_code": "US",
            "telephone_number": "530-999-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANZIONE",
        "first_name": "JENNIFER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Barbara Roeschlau, R.N.,P.H.N
• Keith Leroy Roper, PT
• Safeway Inc (Safeway Pharmacy #4178)
• Sherif Sobhy Abdalla Salama
• Shasta County Mental Health Burney Clinic (Shasta County Mental Health Burney)
• Dennis Merle Thompson, MSW, LCSW
• Thrifty Payless Inc (Rite Aid Pharmacy 06101)
• Jose Maria Valenzuela
• Karen Patricia Van Dyke, DDS
• Clarissa Renee Vargas, RDH

• Dentist in Burney, CA
• Providers in Burney, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.