Nicole Marie Staman, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN18657 Issued in FL

Practice address

1400 Annunciation St
Apt #1203
New Orleans, LA 70130-8646

Phone

(813) 476-5774

NPI assigned

Jun 9, 2009

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 names 1

• Dr. Nicole Marie Quisenberry Former name

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1427284165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 RIVERPLACE BLVD",
            "address_2": "#911",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079069",
            "telephone_number": "904-238-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ANNUNCIATION ST",
            "address_2": "APT #1203",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701308646",
            "telephone_number": "813-476-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMAN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "QUISENBERRY",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Thomas Newton Stall Jr., MD
• Caroline Stallard, MD, MPH
• Arianne Elizabeth Stallings, LMSW
• David Jordan Stamps, CRNA
• Kenicia Stamps
• Ku'Meshia Stamps
• Lanice Stamps, MASTERS OF ART
• Patty Stanchec, PT

• Dentist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.