Stephanie John, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859056 Issued in MA

Practice address

Holyoke Health Center
505 Front Street
Chicopee, MA 01013

Phone

(413) 420-2200

NPI assigned

Apr 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1467033571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KENDALL DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813841",
            "telephone_number": "508-335-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOLYOKE HEALTH CENTER",
            "address_2": "505 FRONT STREET",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01013",
            "telephone_number": "413-420-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jean Jacques, LMHC
• Richard Thomas Jarvis
• Sarah Jefferson, RN
• Michael Lee Jenkins
• Anne Jenney, PA-C
• Caroline Ann Johnson, DMD
• Rachel Marie Johnson, LPN
• Rebecca S Johnson, MA
• Sherard W Johnson
• Jenna Jolly, NP

• General Practice Dentistry in Chicopee, MA
• Providers in Chicopee, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.