Stacy Hey, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00203707 Issued in CO

Practice address

302 W Phillip Ave
Norfolk, NE 68701-5248

Phone

(402) 371-8000

Fax

(402) 371-0971

NPI assigned

Jun 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacy Gibreal Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Dentist

Education

Midwestern University College of Dental Medicine, Glendale, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southern Tier Community Health Center Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Olean, NY
  • NPI 1184654477

  PA

  Medicare reassignment
• Bradford Dental Center

  • Federally Qualified Health Center (FQHC)
  • Bradford, PA
  • NPI 1346919511

  General Practice

  NPD (past)
• Keystone Rural Health Consortia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Emporium, PA
  • NPI 1215451927

  General Practice

  NPD (past)
• Keystone Rural Health Consortia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Emporium, PA
  • NPI 1609968114
  NPD (past)
• Keystone Rural Health Consortia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kersey, PA
  • NPI 1881146884
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1417487950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W PHILLIP AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015248",
            "telephone_number": "402-371-8000",
            "fax_number": "402-371-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W PHILLIP AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015248",
            "telephone_number": "402-371-8000",
            "fax_number": "402-371-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEY",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00203707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "GIBREAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Hernandez
• Samantha Hernandez
• Grace Herron
• Adam Hervert, MA, ATC
• Jennifer L Hervert, PT
• Debra K Hickman
• Jennifer Hiebenthal
• Jeffrey Lloyd Hilgert
• Leann Fay Hilgert
• Leah Hilkemann

• General Practice Dentistry in Norfolk, NE
• Providers in Norfolk, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.