Stella Tam

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4092 Issued in NM

Practice address

250 E Hanford Armona Rd
Lemoore, CA 93245-2132

Phone

(800) 492-4227

NPI assigned

Jun 10, 2014

Last updated

Feb 6, 2020By the provider in NPPES

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 CA

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

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.

• Familia Dental Mkemidtown LLC

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1982086955
  NPD (past)
• Familia Dental Mkemitchell LLC

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1609259266

  General Practice

  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1306259080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 47TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161546",
            "telephone_number": "415-519-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E HANFORD ARMONA RD",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452132",
            "telephone_number": "800-492-4227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 E Algonquin Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734144",
            "country_code": "US",
            "telephone_number": "847-701-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "STELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Stevens
• Richard Stiens, PH D
• Mark David Stonger, PHD
• Eric J Sturgeon, PHARM.D.
• Susie Swartz
• Jha'Ron Taylor
• Temple Legacy Counseling, LLC (TLC Counseling)
• Cheryl Lynn Thomas, OB GYN, CNP, CNM
• Tyisha Thomas, LCSW
• Ruben S Thorbus, MD

• General Practice Dentistry in Lemoore, CA
• Providers in Lemoore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.