Stephanie Norris, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105910 Issued in CA

Practice address

1350 S White Oak Dr Apt 324
Waukegan, IL 60085-8347

Phone

(805) 407-0017

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1639761851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S WHITE OAK DR APT 324",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600858347",
            "telephone_number": "805-407-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S WHITE OAK DR APT 324",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600858347",
            "telephone_number": "805-407-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "STEPHANIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.m.norris10.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1350 S White Oak Dr Apt 324",
            "city": "Waukegan",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600858347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicasa, NFP
• Manros Nickens
• Samantha Ann Nierman
• Astrida Nikurs, MD
• Elizabeth S Nodine, M.D.
• Northshore Home Care, LLC
• Northwest Sleep Provider Inc.
• Nuel Home Healthcare, Inc.
• Shahzadhi Nyakhar, MPH
• Nyj Vital RX Incorporated

• General Practice Dentistry in Waukegan, IL
• Providers in Waukegan, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.