Individual provider Active NPI

Sharon Anita Long-Stokes, D.D.S.

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1376573790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6452 Issued in NC
Practice address
106 S Murrow Blvd
Ste. 100
Greensboro, NC 27401-2959
Phone
(336) 275-9922
Fax
(336) 275-0040
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6452 NC Primary

Addresses

Primary practice location

106 S Murrow Blvd
Ste. 100
Greensboro, NC 27401-2959

Mailing address

106 S Murrow Blvd
Ste. 100
Greensboro, NC 27401-2959
Phone (336) 275-9922

Other identifiers 3

IdentifierTypeStateIssuer
8995377MedicaidNC
809129OtherNCUNITED CONCORDIA
0217YOtherNCBCBS NC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160803001817 NC Order and Referring Only - DentistPractitioner - Dentist 1557655289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6452NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sharon Long-Stokes, D.D.S., P.a. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376573790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MURROW BLVD",
            "address_2": "STE. 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012959",
            "telephone_number": "336-275-9922",
            "fax_number": "336-275-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MURROW BLVD",
            "address_2": "STE. 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012959",
            "telephone_number": "336-275-9922",
            "fax_number": "336-275-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG-STOKES",
        "first_name": "SHARON",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995377",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "809129",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0217Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.