Active NPI
Jessica Stanley, DMD
- General Practice Dentistry
- Neenah, WI
National Provider Identifier
1558050856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 103146-875
- Practice address
- 655 Deerwood Ave
Neenah, WI 54956-1629 - Phone
- (315) 657-2719
- NPI assigned
- May 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 103146-875 | WI | Primary |
| General Practice Dentistry | 1223G0001X | 110078 | CA |
Addresses
Primary practice location
655 Deerwood Ave
Neenah, WI 54956-1629
Mailing address
655 Deerwood Ave
Neenah, WI 54956-1629
Other practice location 1
39400 Murrieta Hot Springs Rd Ste 123B
Murrieta, CA 92563-7709
Phone (951) 461-7470
Other practice location 2
33321 Temecula Pkwy Ste 104
Temecula, CA 92592-4847
Phone (951) 302-7508
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 |
|---|---|---|---|
| 110078 | CA | MD | General Practice Dentistry |
| 103146-875 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huey Q Tran, DDS, Inc. | General Practice | Current | Accepting new patients |
| Huey Tran DDS, Inc. | General Practice | Past | Accepting new patients |
Locations
33321 Temecula Pkwy
Ste 104
Temecula, CA 92592
Phone (951) 302-7508
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.
-
- General Practice Dentistry
- Temecula, CA
- NPI 1366051625
-
- General Practice Dentistry
- Temecula, CA
- NPI 1376889246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1558050856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 DEERWOOD AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 DEERWOOD AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561629",
"telephone_number": "315-657-2719"
}
],
"practiceLocations": [
{
"address_1": "39400 Murrieta Hot Springs Rd Ste 123B",
"address_purpose": "LOCATION",
"city": "Murrieta",
"state": "CA",
"postal_code": "925637709",
"country_code": "US",
"telephone_number": "951-461-7470",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33321 Temecula Pkwy Ste 104",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925924847",
"country_code": "US",
"telephone_number": "951-302-7508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANLEY",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "103146-875",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "110078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.