Kimberly Rene Stampien, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS028588L Issued in PA

Practice address

732 Pittston Ave
Scranton, PA 18505-4103

Phone

(570) 346-1357

Fax

(570) 346-3826

NPI assigned

May 21, 2007

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

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

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649488636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 PITTSTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054103",
            "telephone_number": "570-346-1357",
            "fax_number": "570-346-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 PITTSTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054103",
            "telephone_number": "570-346-1357",
            "fax_number": "570-346-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPIEN",
        "first_name": "KIMBERLY",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028588L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Joseph's Center
• Andrea B Stachnick, CRNA
• Brenda Sue Staerker
• Bennett Stahl, MS
• Jamie S Stallman, MD
• Ted Michael Stampien, M.D.
• Maureen Marguerite Staples, LCSW
• Sarah J Staples, MA, LPC, NCC
• Elise Marie Stavish, DNP, CRNP, FNP-C
• Steady Roots Counseling LLC

• General Practice Dentistry in Scranton, PA
• Providers in Scranton, 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.