Active NPI
Stephanie Michelle Eissens, DDS
- Dentist
- Morrisville, NC
National Provider Identifier
1457555849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8386
- Practice address
- 1004 Lower Shiloh Way
Suite 103
Morrisville, NC 27560-5430 - Phone
- (919) 472-0910
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8386 | NC | Primary |
Addresses
Primary practice location
1004 Lower Shiloh Way
Suite 103
Morrisville, NC 27560-5430
Mailing address
503 Santorini Dr
Cary, NC 27519-7028
Phone (919) 260-9055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8386 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eissens Dentistry | Dentist | Past | Accepting new patients |
| Stephanie Eissens DDS PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Morrisville, NC
- NPI 1750799698
-
- Dentist
- Morrisville, NC
- NPI 1083013882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1457555849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 SANTORINI DR",
"city": "CARY",
"state": "NC",
"postal_code": "275197028",
"telephone_number": "919-260-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 LOWER SHILOH WAY",
"address_2": "SUITE 103",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605430",
"telephone_number": "919-472-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISSENS",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.