Kaitlyn Starbody, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000010829 Issued in TN

Practice address

122 Heritage Park Dr Ste 300
Murfreesboro, TN 37129-0563

Phone

(615) 896-1330

NPI assigned

Jul 23, 2018

Sex

Female

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

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1184101180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HERITAGE PARK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290563",
            "telephone_number": "217-413-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HERITAGE PARK DR STE 300",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290563",
            "telephone_number": "615-896-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARBODY",
        "first_name": "KAITLYN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000010829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Stanley
• Katherine Elizabeth Stanley
• Mitchell Everaert Stanlick, D.C.
• Ashley Stanton
• Michael L Stanz, BSCPHARM, BCPS
• Michael Jay Starbody, DMD
• Lorinda Stark
• David B Starkey, DC
• Jordyn Starks
• Benjamin James Stasik, PA-C

• General Practice Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.