Stephen W. Joe, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2019-83 Issued in MS

Practice address

4824 Goodman Road
Olive Branch, MS 38654

Phone

(662) 874-5917

Fax

(662) 874-5998

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Windstone Dental LLC

  • Dentist
  • Olive Branch, MS
  • NPI 1376883199
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1609896729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547950",
            "telephone_number": "662-874-5917",
            "fax_number": "662-847-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 GOODMAN ROAD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654",
            "telephone_number": "662-874-5917",
            "fax_number": "662-874-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "STEPHEN",
        "middle_name": "W.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2019-83",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00060134",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Tigrett James, RPH
• Glynda Louise Jenkins, LPC
• Hong Jia
• JNJL Transportations LLC
• Kamren Alese Joe, DDS
• John Will Lifestyle Companions LLC
• David Johnson
• Holly Johnson, PT
• Katharine Johnson, LPC
• Johnsons Therapy Group LLC

• General Practice Dentistry in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.