Individual provider Active NPI

Stacey M Howlett

  • Dentist
  • Potsdam, NY
National Provider Identifier
1275545956
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047783 Issued in NY
Practice address
150 Elm St
Potsdam, NY 13676-3300
Phone
(315) 265-5344
Fax
(315) 261-4799
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047783 NY Primary

Addresses

Primary practice location

150 Elm St
Potsdam, NY 13676-3300

Mailing address

150 Elm St
Potsdam, NY 13676-3300
Phone (315) 265-5344

Other practice location 1

1 Riverview Dr
Potsdam, NY 13676-2090
Phone (315) 265-5344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandstone Family Dentistry, P.C. Dentist CurrentSince Jul 24, 2022 Accepting new patients

Locations

150 Elm St
Potsdam, NY 13676
Phone (315) 265-5344

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275545956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ELM ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763300",
            "telephone_number": "315-265-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ELM ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763300",
            "telephone_number": "315-265-5344",
            "fax_number": "315-261-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Riverview Dr",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136762090",
            "country_code": "US",
            "telephone_number": "315-265-5344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWLETT",
        "first_name": "STACEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.