Julia B Stacey, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7220-15 Issued in WI

Practice address

W178N9201 Water Tower PL Ste 100
Menomonee Falls, WI 53051-8029

Phone

(262) 251-8704

NPI assigned

May 8, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 14, 2015 through May 14, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Associates LTD of Wisconsin

  • Endodontics
  • Wauwatosa, WI
  • NPI 1518266998

  Pediatric Dentistry

  NPD (past)
• Ridgeview Dental Group SC

  • General Practice Dentistry
  • Menomonee Falls, WI
  • NPI 1437236536
  NPD (past)
• Stat Anesthesia Specialists, LTD.

  • Anesthesiology Physician
  • Bremen, IN
  • NPI 1992754089
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1598024721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A-219 KY CLINIC",
            "address_2": "740 S. LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W178N9201 WATER TOWER PL STE 100",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530518029",
            "telephone_number": "262-251-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6855 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531328045",
            "country_code": "US",
            "telephone_number": "414-435-0787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACEY",
        "first_name": "JULIA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "7220-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Shore Counseling LLC
• Anne Elizabeth Spadaro, PT
• Arturo Sparrow, DPT
• Brian Specht, D.D.S
• Evan Ryan Springer, DO
• Samantha Stachowiak, M.S.
• Leanne Marie Stadter, P.T.A.
• Leah Anne Stapelman, DPT
• Brian Anthony Stark, D.D.S.
• Samantha Stark, ATC, LAT

• Pediatric Dentistry in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.