Active NPI
Jay Alex Stone, D.D.S
- General Practice Dentistry
- Birmingham, MI
National Provider Identifier
1205056702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901018216
- Practice address
- 751 Chestnut St Ste 204
Birmingham, MI 48009-6464 - Phone
- (248) 644-8520
- Fax
- (248) 644-8522
- NPI assigned
- Apr 26, 2007
- Last updated
- Jun 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901018216 | MI | Primary |
Addresses
Primary practice location
751 Chestnut St Ste 204
Birmingham, MI 48009-6464
Mailing address
751 Chestnut St Ste 204
Birmingham, MI 48009-6464
Phone (248) 644-8520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160225002677 | MI | Order and Referring Only - Dentist | 6507161718 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCF Limited, Inc | 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": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1205056702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 CHESTNUT ST STE 204",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096464",
"telephone_number": "248-644-8520",
"fax_number": "248-644-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 CHESTNUT ST STE 204",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096464",
"telephone_number": "248-644-8520",
"fax_number": "248-644-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "JAY",
"middle_name": "ALEX",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901018216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.