Rivkah Zelda Krevsky Stack

Primary specialty

DentistTaxonomy code 122300000X

License

9804 Issued in NC

Practice address

300 W Tryon St
Hillsborough, NC 27278-2438

Phone

(919) 245-2435

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Person Family Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Roxboro, NC
  • NPI 1194899542
  NPD (past)
• Person Family Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Roxboro, NC
  • NPI 1952493587
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1275948804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W TRYON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782438",
            "telephone_number": "919-245-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W TRYON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782438",
            "telephone_number": "919-245-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "RIVKAH",
        "middle_name": "ZELDA KREVSKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Soto, LCMHCA
• Southeast Diabetic Supply Inc
• Keva Doreen Southwell, PA
• Anna Fitzpatrick Sparr, PHYSICAL THERAPIST
• Simon H Spire, LCSWA
• Toya Danielle Staley, CPSS
• Maddox Gray Stampley, DPT
• Lesley Grayce Stanford, MS, RD, LDN
• Takeda Starr
• Kaleigh Steelman, PHARMD

• Dentist in Hillsborough, NC
• Providers in Hillsborough, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.

Verify at the official NPI Registry.