Stacey Lynn Tinkoff, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019031145 Issued in IL

Practice address

334 Busse Hwy
Park Ridge, IL 60068-3251

Phone

(847) 825-4030

NPI assigned

May 30, 2017

Last updated

May 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1376071720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LYNN CT",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162830",
            "telephone_number": "847-877-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 BUSSE HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683251",
            "telephone_number": "847-825-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKOFF",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anida Thounsavath
• Meghan Tiedge
• Paula Alejandra Tinjaca Balaguera, SLPA
• Richard M Tinkoff
• Robert S. Tinkoff, D.D.S.
• Tiny Tots Pediatric Therapies Inc
• Tiny Tots Pediatric Therapies, Inc
• TLJ Enterprises (Home Helpers of Northeastern IL)
• Yuleung Eric To, PSY.D.
• David P Tojo, MD

• Dentist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.