Douglas Alan Stokesberry, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11376 Issued in FL

Practice address

9204 NE 6TH Ave
Miami Shores, FL 33138-2835

Phone

(305) 751-7919

Fax

(305) 759-2041

NPI assigned

May 17, 2008

Sex

Male

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

Enrolled in FL

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

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210982400000",
    "number": "1386801462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382835",
            "telephone_number": "305-751-7919",
            "fax_number": "305-759-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382835",
            "telephone_number": "305-751-7919",
            "fax_number": "305-759-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKESBERRY",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-17",
        "last_updated": "2008-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Stavinsky
• Jay G Stein, M.D., P.A.
• Lauren Stein
• Stephen J Clifford MD Inc
• Austin Randell Stewart Jr., PHARMD
• Syed A Subzwari, R,PH.
• Sung Ho Bae, DPM, P.a
• Support for Better Living, Inc.
• Chusa Sylvestre
• Tamayo Urgent Care Inc

• General Practice Dentistry in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; 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.