Individual provider Active NPI

Jay Alex Stone, D.D.S

  • General Practice Dentistry
  • Birmingham, MI
National Provider Identifier
1205056702
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018216 Issued in MI
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225002677 MI Order and Referring Only - DentistPractitioner - Dentist 6507161718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.