Stephanie Kioko, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600210 Issued in MI

Practice address

7411 John R St
Detroit, MI 48202-3117

Phone

(313) 871-4405

NPI assigned

May 28, 2019

Last updated

May 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harden Family Dentistry PC

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1720529621
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1174180954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023117",
            "telephone_number": "313-871-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023117",
            "telephone_number": "313-871-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIOKO",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Kinnell, PA-C
• Vikram Kinni, M.D.
• Diana Lynn Kinsey-Steele, DNP, APRN, BC
• Yolonda Kinsey, LMSW
• Tanya Lynn Kintz, FNP-BC
• S George Kipa, M.D.
• Mary Kathryn Kirby, M.S. CCC-SLP
• Samadhi Upeka Kiridena, MD
• Krystal Kirk, LLMSW
• Marquise Kirk

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, 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 May 6, 2022; 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.