Fred Deckert Stoye Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11495 Issued in MI

Practice address

3258 Bowers Harbor Rd
Traverse City, MI 49686-9737

Phone

(231) 223-4232

Fax

(231) 223-9205

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Old Mission Peninsula Dentistry RC

  • Dentist
  • Traverse City, MI
  • NPI 1497117923
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144356692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 CENTER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496861605",
            "telephone_number": "231-935-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 BOWERS HARBOR RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869737",
            "telephone_number": "231-223-4232",
            "fax_number": "231-223-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOYE",
        "first_name": "FRED",
        "middle_name": "DECKERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Stolar, MOT, OTR/L
• Anna T Stone, MD
• Rachel Stone, RN BSN
• Scott Stone, CRNA
• Beth Storm, BEHAVIOR TECHNICIAN
• Antionette Stradling
• Katherine Delany Strahan, BT
• Carol Ann Straight, NP
• David James Straight, MD
• Cesley Elizabeth Stranaly

• General Practice Dentistry in Traverse City, MI
• Providers in Traverse City, MI by specialty
• General Practice Dentistry in Michigan

• 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.

Verify at the official NPI Registry.