Joseph Statkevich, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

007734 Issued in CT

Practice address

650 Chase Pkwy
Suite 3
Waterbury, CT 06708-3046

Phone

(203) 597-8878

Fax

(203) 597-9722

NPI assigned

Jan 27, 2007

Sex

Male

Sole proprietor

Yes

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 CT

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

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1043366354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CHASE PKWY",
            "address_2": "SUITE 3",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083046",
            "telephone_number": "203-808-1624",
            "fax_number": "203-597-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CHASE PKWY",
            "address_2": "SUITE 3",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083046",
            "telephone_number": "203-597-8878",
            "fax_number": "203-597-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATKEVICH",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Stanley
• Sarah E. Starbird, LCSW
• Tracy Starbird, LPC
• State Dental
• State of Connecticut
• Rachael Elizabeth Staub, MS, PA-C
• Stay at Home Health Network LLC
• Staywell Health Care Inc
• Staywell Health Care Inc.
• Staywell Health Care, Inc

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.