Individual provider Active NPI

Karla Michelle Stanz, DMD

  • Dentist
  • Easton, PA
National Provider Identifier
1124145420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS031490L Issued in PA
Practice address
3787 Nicholas Street
Easton, PA 18045
Phone
(610) 252-8558
Fax
(610) 252-8885
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS031490L PA Primary

Addresses

Primary practice location

3787 Nicholas Street
Easton, PA 18045

Mailing address

3787 Nicholas Street
Easton, PA 18045
Phone (610) 252-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160311000430 PA Order and Referring Only - DentistPractitioner - Dentist 5890091219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124145420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3787 NICHOLAS STREET",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18045",
            "telephone_number": "610-252-8558",
            "fax_number": "610-252-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 NICHOLAS STREET",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18045",
            "telephone_number": "610-252-8558",
            "fax_number": "610-252-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANZ",
        "first_name": "KARLA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031490L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.