Individual provider Active NPI

Stephanie Jean Plonski, D.M.D.

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1114332269
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856857 Issued in MA
Practice address
1795 Main St
Suite 216
Springfield, MA 01103-1077
Phone
(413) 733-6651
Fax
(413) 733-6653
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 DN1856857 MA Primary

Addresses

Primary practice location

1795 Main St
Suite 216
Springfield, MA 01103-1077

Mailing address

1795 Main St
Suite 216
Springfield, MA 01103-1077
Phone (413) 733-6651

Other identifiers 1

IdentifierTypeStateIssuer
004011136MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150728006127 MA Order and Referring Only - DentistPractitioner - Dentist 4082928510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856857MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1114332269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 MAIN ST",
            "address_2": "SUITE 216",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031077",
            "telephone_number": "413-733-6651",
            "fax_number": "413-733-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 MAIN ST",
            "address_2": "SUITE 216",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031077",
            "telephone_number": "413-733-6651",
            "fax_number": "413-733-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLONSKI",
        "first_name": "STEPHANIE",
        "middle_name": "JEAN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011136",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.