William Brandon Stofer, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010074 Issued in IN

Practice address

3505 N State Road 15
Suite a
Warsaw, IN 46582-5503

Phone

(574) 269-1199

Fax

(574) 269-4452

NPI assigned

Feb 16, 2007

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

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689718603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 N STATE ROAD 15",
            "address_2": "SUITE A",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465825503",
            "telephone_number": "574-269-1199",
            "fax_number": "574-269-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 N STATE ROAD 15",
            "address_2": "SUITE A",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465825503",
            "telephone_number": "574-269-1199",
            "fax_number": "574-269-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFER",
        "first_name": "WILLIAM",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12010074",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Stevens, P.A.
• Kara Stevens
• Lora Stevens
• Diane E Stiles, LCSW
• Amy Deion Stitt, DNP, FNP-C
• Joseph Stoffel
• Melinda Sue Stone, RPH
• Tiara Stratton
• Elizabeth Studebaker, MA, LMHCA
• Cathy Ann Suhany

• General Practice Dentistry in Warsaw, IN
• Providers in Warsaw, IN by specialty
• General Practice Dentistry in Indiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.