Caroline Hazel Stubbs, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9759 Issued in NC

Practice address

3508 Tonbridge Way
Durham, NC 27707-4540

Phone

(919) 475-3830

NPI assigned

May 27, 2014

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

Enrolled in NC

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

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.

• Arend Klooster DDS, PLLC

  • General Practice Dentistry
  • Holly Springs, NC
  • NPI 1992152805
  NPD (past)

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1063824902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 TONBRIDGE WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074540",
            "telephone_number": "919-475-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 TONBRIDGE WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074540",
            "telephone_number": "919-475-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "CAROLINE",
        "middle_name": "HAZEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Structured Family Interventions, LLC
• Structured Family Interventions, LLC
• Jill Zukerman Stuart, PH.D.
• Rachel Stuart, COTA
• Erik Svensen Stubberud, MMS, PA-C
• Claire S Stuebe
• Melissa Joy Sturdevant, BSN
• Rebekah Ann Sturgess, OTR
• Danielle Sturkey, ARNP
• Erin Sturmer

• All providers in Durham, NC
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.