Active NPI
Jennifer Makella Stone, D.D.S.
- Dentist
- Mableton, GA
National Provider Identifier
1588769756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019022438
- Practice address
- 1177 Trenton CT SW
Mableton, GA 30126-1548 - Phone
- (678) 945-7280
- NPI assigned
- Sep 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019022438 | IL | Primary |
Addresses
Primary practice location
1177 Trenton CT SW
Mableton, GA 30126-1548
Mailing address
1177 Trenton CT SW
Mableton, GA 30126-1548
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 |
|---|---|---|---|
| 019022438 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1588769756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 TRENTON CT SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301261548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 TRENTON CT SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301261548",
"telephone_number": "678-945-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "JENNIFER",
"middle_name": "MAKELLA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019022438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.