Stephanie Gray Hackney, D.D.S. , P.A.

Primary specialty

DentistTaxonomy code 122300000X

License

6565 Issued in NC

Practice address

1337 Military Cutoff Rd
Wilmington, NC 28405-3633

Phone

(910) 256-9292

Fax

(910) 256-9792

NPI assigned

Oct 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1396829743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 MILITARY CUTOFF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053633",
            "telephone_number": "910-256-9292",
            "fax_number": "910-256-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 MILITARY CUTOFF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053633",
            "telephone_number": "910-256-9292",
            "fax_number": "910-256-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKNEY",
        "first_name": "STEPHANIE",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S. , P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "122300000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Golden Haag, MD
• Kristi Washington Haas
• Julie Ann Hackmann, L.AC.
• Rebecca Madeline Haddock, LCSW
• Cindy Haeck
• Shannon Haenel, D.O.
• Marvin L Hage, MD
• Agatha H. Hagepanos, RPH

• Dentist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.