Stefan Speck, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030576-L Issued in PA

Practice address

306 Limestone Rd
Oxford, PA 19363-1233

Phone

(610) 932-9580

Fax

(610) 932-3852

NPI assigned

Feb 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 PA

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.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oxford Family Dentistry, LLC

  • Dentist
  • Oxford, PA
  • NPI 1982852646
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649306895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LIMESTONE RD",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631233",
            "telephone_number": "610-932-9580",
            "fax_number": "610-932-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 LIMESTONE RD",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631233",
            "telephone_number": "610-932-9580",
            "fax_number": "610-932-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECK",
        "first_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030576-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Skatz, RDN
• Cody Smoldt
• Blair V Souder, LPC
• Southern Chester County Family Practice Associates, P.C.
• Southern Chester County Orthodontic Associates PC (Braces Places)
• Richard A Stratchko, DO
• Robert W Strong, D.D.S.
• Margaret Swain-Gray, D.O.
• Kristopher James Swanson
• Hillary Sycalik, DPT

• General Practice Dentistry in Oxford, PA
• Providers in Oxford, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.