Individual provider Active NPI

Josephine Lynne Stokes, DDS

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1104811199
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8117 Issued in OR
Practice address
622 E 22ND Ave Ste E
Eugene, OR 97405-2989
Phone
(541) 686-3003
Fax
(541) 246-8672
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D8117 OR Primary

Addresses

Primary practice location

622 E 22ND Ave Ste E
Eugene, OR 97405-2989

Mailing address

622 E 22ND Ave Ste E
Eugene, OR 97405-2989
Phone (541) 686-3003

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160108000333 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4486956414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Josephine Stokes, DDS, PC General Practice CurrentSince Jul 27, 2020 Accepting new patients
Delta Oaks Dental Care General Practice Past Accepting new patients

Locations

622 E 22nd Ave
Ste E
Eugene, OR 97405
Phone (541) 686-3003

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1104811199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E 22ND AVE STE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052989",
            "telephone_number": "541-686-3003",
            "fax_number": "541-246-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E 22ND AVE STE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052989",
            "telephone_number": "541-686-3003",
            "fax_number": "541-246-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "JOSEPHINE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.