Active NPI
Beth Ann Stillings, DDS
- Dentist
- Elmira Heights, NY
National Provider Identifier
1114909496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 035179
- Practice address
- 273 E 14TH St
Elmira Heights, NY 14903-1319 - Phone
- (607) 733-0457
- Fax
- (607) 732-4452
- NPI assigned
- Nov 14, 2005
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 035179 | NY | Primary |
Addresses
Primary practice location
273 E 14TH St
Elmira Heights, NY 14903-1319
Mailing address
273 E 14TH St
Elmira Heights, NY 14903-1319
Phone (607) 733-0457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00924685 | Medicaid | NY |
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 |
|---|---|---|---|
| 035179 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114909496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 E 14TH ST",
"city": "ELMIRA HEIGHTS",
"state": "NY",
"postal_code": "149031319",
"telephone_number": "607-733-0457",
"fax_number": "607-732-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 E 14TH ST",
"city": "ELMIRA HEIGHTS",
"state": "NY",
"postal_code": "149031319",
"telephone_number": "607-733-0457",
"fax_number": "607-732-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLINGS",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "035179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00924685",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmira Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.