Carl James Stefaniak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16496 Issued in OH

Practice address

6533 Brecksville Road
Suite a
Independence, OH 44131-4897

Phone

(216) 524-7275

Fax

(216) 524-7275

NPI assigned

Jun 17, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Independence Amison, DDS, LLC

  • Dentist
  • Independence, OH
  • NPI 1992471288
  NPD (past)

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1609071067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 BRECKSVILLE ROAD",
            "address_2": "SUITE A",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441314897",
            "telephone_number": "216-524-7275",
            "fax_number": "216-524-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 BRECKSVILLE ROAD",
            "address_2": "SUITE A",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441314897",
            "telephone_number": "216-524-7275",
            "fax_number": "216-524-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANIAK",
        "first_name": "CARL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-17",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Soucie II, DDS
• Denise M Spagnola
• Kimara Spencer
• Dale Steele, APRN
• Ellen Stefancik, RPH
• Neil I Steinberg, MD
• Bridgette Stemple, NP
• Suzanne Ellen Stewart Palmisano, LPCC LICDC
• Miya Stewart
• Mark J Stillman, M.D.

• General Practice Dentistry in Independence, OH
• Providers in Independence, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.