Stacy Alicia Stein, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17455 Issued in FL

Practice address

2900 N Military TRL
Suite 212
Boca Raton, FL 33431-6365

Phone

(561) 394-9000

Fax

(561) 988-1102

NPI assigned

Jan 8, 2008

Last updated

Oct 15, 2018By the provider in NPPES

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 Alicia Goldenberg Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1467637561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 S MILITARY TRL STE B2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334843794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL",
            "address_2": "SUITE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316365",
            "telephone_number": "561-394-9000",
            "fax_number": "561-988-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "STACY",
        "middle_name": "ALICIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "GOLDENBERG",
            "middle_name": "ALICIA",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Ann Stein, PH.D.
• Drew A Stein, M.D.
• Jared Michael Stein, LMHC
• Jeffrey Lee Stein, M.D.
• Jonah Matthew Stein, MD
• Steven Aaron Stein, DO
• Tammi Stein, OTR
• Charles J Steinberg, D.O.
• David Steinberg, PHARMD, JD, CPH
• Fred Steinberg, MD

• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.