Individual provider Active NPI

Faye Christine Stokes, D.D.S.

  • General Practice Dentistry
  • Michigan City, IN
National Provider Identifier
1326454737
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12012119A Issued in IN
Practice address
4212 E Michigan Blvd
Michigan City, IN 46360-3131
Phone
(219) 874-7224
Fax
(219) 879-8153
NPI assigned
Jul 7, 2014
Last updated
Jul 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12012119A IN Primary

Addresses

Primary practice location

4212 E Michigan Blvd
Michigan City, IN 46360-3131

Mailing address

4212 E Michigan Blvd
Michigan City, IN 46360-3131
Phone (219) 874-7224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20160107000357 IN Order and Referring Only - DentistPractitioner - Dentist 5496057531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan City Dental, P.C. General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1326454737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 E MICHIGAN BLVD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603131",
            "telephone_number": "219-874-7224",
            "fax_number": "219-879-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 E MICHIGAN BLVD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603131",
            "telephone_number": "219-874-7224",
            "fax_number": "219-879-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "FAYE",
        "middle_name": "CHRISTINE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012119A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.