Active NPI
Stephanie Joy Sweeney, DMD
- Dentist
- Savannah, GA
National Provider Identifier
1124258835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013901
- Practice address
- 836 E 65TH St Ste 11
Savannah, GA 31405-4497 - Phone
- (912) 355-8821
- NPI assigned
- Jul 16, 2009
- Last updated
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013901 | GA | Primary |
| Dentist | 122300000X | 9236 | NC |
Addresses
Primary practice location
836 E 65TH St Ste 11
Savannah, GA 31405-4497
Mailing address
836 E 65TH St Ste 11
Savannah, GA 31405-4497
Phone (912) 355-8821
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 |
|---|---|---|---|
| DN013901 | GA | MD | Dentist |
| 9236 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SD Dental LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1124258835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 E 65TH ST STE 11",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054497",
"telephone_number": "912-355-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 E 65TH ST STE 11",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054497",
"telephone_number": "912-355-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "STEPHANIE",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013901",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9236",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.