Active NPI
Stacy L Dinges, D.S.S.
- Public Health Dentistry
- Albemarle, NC
National Provider Identifier
1114018413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 7599
- Practice address
- 1000 N 1St St Ste 3
Albemarle, NC 28001-2819 - Phone
- (704) 986-3845
- Fax
- (704) 986-3847
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 7599 | NC | Primary |
Addresses
Primary practice location
1000 N 1St St Ste 3
Albemarle, NC 28001-2819
Mailing address
PO Box 2516
Cornelius, NC 28031-2516
Phone (704) 655-0467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902M5 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7599 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114018413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2516",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280312516",
"telephone_number": "704-655-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 1ST ST STE 3",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280012819",
"telephone_number": "704-986-3845",
"fax_number": "704-986-3847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINGES",
"first_name": "STACY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.S.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NC",
"license": "7599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "902M5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.