Stephanie Kinsey DDS

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

STEPHANIE KINSEY DDS

Doing business as

Palencia Dental

Practice address

159 Palencia Village Dr Ste 107-109
St Augustine, FL 32095-8457

Phone

(904) 826-4343

NPI assigned

Jun 20, 2019

Last updated

Jun 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Kinsey, DDSNPI 1700997376

Title

Owner

Phone

(904) 826-4343

Specialties & licenses 2

Addresses

Other names 1

• Palencia Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie L Kinsey, DDS

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1700997376
  NPD (past) Authorized official

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1275193278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 PALENCIA VILLAGE DR STE 107-109",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958457",
            "telephone_number": "904-826-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 PALENCIA VILLAGE DR STE 107-109",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958457",
            "telephone_number": "904-826-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE KINSEY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-826-4343",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palencia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayne Addison Steen
• Stefan L. Stanescu, MD, PA
• Marisa Steimle
• Susan Rollo Stein, M.S., R.D., L.D.
• Sharon Lynn Steinmetz, A.R.N.P.
• Stephen Strout, DMD, Ms (St. Augustine Center for Dental Excellence)
• Stephens Memorial Home
• Angela Denise Stephens, LMT
• Cynthia Stephens, CRNA
• Steven R. Freeman DDS PL (Elite Smiles)

• Customized Equipment (DME) in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.