NPIMap

Organization Active NPI

John C. Stacey DDS SC

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1316029028
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN C. STACEY DDS SC
Practice address
858 Jupiter Dr
Madison, WI 53718-2946
Phone
(608) 222-7511
Fax
(608) 222-9900
NPI assigned
Oct 20, 2006
Organization subpart
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

Authorized official

Name
Dr. John Charles Stacey, DDSNPI 1275615965
Title
Owner
Phone
(608) 222-7511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X WI Primary

Addresses

Primary practice location

858 Jupiter Dr
Madison, WI 53718-2946

Mailing address

858 Jupiter Dr
Madison, WI 53718-2946
Phone (608) 222-7511

Other names 1

  • Stacey Dental Doing business as

National Provider Directory

National Provider Directory

Locations

858 Jupiter Dr
Madison, WI 53718
Phone (608) 222-7511

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316029028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 JUPITER DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182946",
            "telephone_number": "608-222-7511",
            "fax_number": "608-222-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 JUPITER DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182946",
            "telephone_number": "608-222-7511",
            "fax_number": "608-222-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. STACEY DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-222-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacey Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

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.