Stephanie Joy Rosenfeld, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601310 Issued in MI

Practice address

17280 Goldwin Dr
Southfield, MI 48075-1963

Phone

(163) 538-4775

NPI assigned

Jun 16, 2022

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

• Stephanie Joy Roffe Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1497485841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17280 GOLDWIN DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 GOLDWIN DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751963",
            "telephone_number": "163-538-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "STEPHANIE",
        "middle_name": "JOY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ROFFE",
            "middle_name": "JOY",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marc David Rosen, PH.D.
• Roy M Rosen, DDS
• Denise Marlene Rosenberg, CCC SLP
• Micahel Rosenbergh, PTA
• Samantha Beth Rosenbloom, LMSW
• Jerome Rosenthal, M.D.
• Morgan Rosha-Adams
• Martrilla Marie Ross-Chatman, RN
• Desiree Ross-Vidro
• Adrine Ross, LMSW

• Dentist in Southfield, MI
• Providers in Southfield, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.